| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $13,759.37 | $13,759.37 | $13,759.37 | |
Anthem BCBS
| Facility | $9,393.93 | $15,634.66 | $30,277.32 | |
Cigna
| Facility | $16,974.49 | $28,216.12 | $35,672.00 | |
Harvard Pilgrim
| Facility | $13,223.55 | $19,457.68 | $28,633.56 | |
United
| Facility | $15,846.63 | $15,846.63 | $27,577.49 |