| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.00 | $84.97 | $151.61 | |
Aetna
| Professional | 25 | $49.28 | $94.47 | $150.43 |
Anthem BCBS
| Professional | $51.80 | $76.39 | $135.63 | |
Cigna
| Professional | $43.89 | $79.98 | $190.21 | |
ConnectiCare
| Professional | $25.00 | $55.00 | $104.11 | |
Health New England
| Professional | $54.10 | $105.00 | $139.96 | |
United
| Professional | $48.00 | $80.87 | $162.44 |