| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.89 | $65.87 | $158.63 | |
Aetna
| Professional | $43.82 | $55.13 | $75.68 | |
Ambetter
| Professional | $87.74 | $87.74 | $87.74 | |
Anthem BCBS
| Facility | $116.99 | $116.99 | $138.68 | |
Anthem BCBS
| Professional | $61.34 | $61.34 | $64.27 | |
Cigna
| Facility | $68.22 | $68.22 | $73.06 | |
Cigna
| Professional | $49.80 | $49.80 | $72.72 | |
Harvard Pilgrim
| Professional | $94.73 | $94.73 | $292.38 | |
United
| Professional | $38.90 | $58.37 | $69.29 | |
Well Sense
| Professional | $76.43 | $91.72 | $138.11 |