| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $12,022.64 | $12,022.64 | $12,022.64 | |
Anthem BCBS
| Facility | $12,302.69 | $19,054.61 | $25,118.86 | |
Cigna
| Facility | $14,125.38 | $22,908.68 | $35,481.34 | |
Harvard Pilgrim
| Facility | $9,772.37 | $19,054.61 | $19,952.62 | |
United
| Facility | $5,754.40 | $13,182.57 | $23,442.29 |