| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.09 | $116.09 | $139.31 | |
Aetna
| Professional | $81.20 | $90.08 | $125.14 | |
Ambetter
| Professional | $154.62 | $154.62 | $154.62 | |
Anthem BCBS
| Facility | $206.16 | $206.16 | $244.38 | |
Anthem BCBS
| Professional | $109.27 | $109.27 | $115.06 | |
Cigna
| Facility | $112.67 | $112.67 | $112.67 | |
Cigna
| Professional | $82.25 | $82.25 | $120.11 | |
Harvard Pilgrim
| Professional | $166.92 | $166.92 | $515.20 | |
United
| Professional | $68.56 | $102.85 | $122.12 | |
Well Sense
| Professional | $134.69 | $161.63 | $243.14 |