| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,893.53 | $1,893.53 | $1,893.53 | |
Anthem BCBS
| Facility | $3,200.00 | $7,630.37 | $12,415.28 | |
Cigna
| Facility | $6,594.81 | $10,962.34 | $28,883.00 | |
Harvard Pilgrim
| Facility | $4,919.91 | $7,559.57 | $11,105.87 | |
United
| Facility | $6,156.62 | $6,156.62 | $10,714.22 |