| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $17,908.27 | $17,908.27 | $17,908.27 | |
Anthem BCBS
| Facility | $11,350.07 | $19,094.61 | $36,977.68 | |
Cigna
| Facility | $21,138.97 | $26,685.19 | $34,590.55 | |
Harvard Pilgrim
| Facility | $16,150.13 | $24,231.38 | $35,598.69 | |
United
| Facility | $19,734.40 | $19,734.40 | $34,343.29 |