| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $61.66 | $112.20 | $112.20 |
Aetna
| Professional | $52.48 | $64.57 | $89.13 | |
Aetna
| Professional | 26 | $38.02 | $44.67 | $61.66 |
Anthem BCBS
| Professional | $51.29 | $85.11 | $125.89 | |
Anthem BCBS
| Professional | 26 | $37.15 | $58.88 | $89.13 |
Cigna
| Professional | $72.44 | $102.33 | $177.83 | |
Cigna
| Professional | 26 | $50.12 | $72.44 | $125.89 |
ConnectiCare
| Professional | $63.10 | $95.50 | $131.83 | |
ConnectiCare
| Professional | 26 | $43.65 | $66.07 | $91.20 |
United
| Professional | $61.66 | $93.33 | $173.78 | |
United
| Professional | 26 | $42.66 | $61.66 | $120.23 |