| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $25,785.93 | $25,785.93 | $25,785.93 | |
Anthem BCBS
| Facility | $10,609.43 | $17,245.79 | $30,535.19 | |
Cigna
| Facility | $17,323.84 | $23,886.00 | $28,883.00 | |
Harvard Pilgrim
| Facility | $13,337.13 | $19,858.14 | $29,173.89 | |
United
| Facility | $16,172.77 | $16,172.77 | $28,145.06 |