| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $18,815.24 | $18,815.24 | $18,815.24 | |
Anthem BCBS
| Facility | $14,636.23 | $23,754.48 | $41,402.69 | |
Cigna
| Facility | $26,280.89 | $33,176.18 | $43,004.46 | |
Harvard Pilgrim
| Facility | $18,083.83 | $30,125.50 | $43,357.25 | |
United
| Facility | $24,534.66 | $24,534.66 | $42,697.06 |