| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.01 | $93.53 | $230.11 | |
Aetna
| Facility | CQ | $24.74 | $132.65 | $132.65 |
Aetna
| Professional | $21.44 | $25.78 | $40.03 | |
Anthem BCBS
| Professional | $24.57 | $32.02 | $41.39 | |
Cigna
| Facility | $125.00 | $125.00 | $125.00 | |
Cigna
| Professional | $32.60 | $70.00 | $116.06 | |
Harvard Pilgrim
| Professional | $36.65 | $54.99 | $113.15 | |
United
| Professional | $26.31 | $35.75 | $46.30 | |
Well Sense
| Professional | $26.92 | $32.11 | $47.49 |