| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $13,044.75 | $13,044.75 | $13,044.75 | |
Anthem BCBS
| Facility | $11,542.80 | $18,636.52 | $35,885.51 | |
Cigna
| Facility | $20,170.37 | $25,462.46 | $33,005.58 | |
Harvard Pilgrim
| Facility | $15,673.09 | $23,121.08 | $33,967.53 | |
United
| Facility | $18,830.16 | $18,830.16 | $32,769.66 |