| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $62.23 | $111.83 | $111.83 |
Aetna
| Professional | $53.68 | $65.45 | $108.65 | |
Aetna
| Professional | 26 | $38.45 | $45.26 | $70.61 |
Anthem BCBS
| Professional | $51.52 | $88.24 | $124.26 | |
Anthem BCBS
| Professional | 26 | $38.29 | $59.87 | $87.45 |
Cigna
| Professional | $81.40 | $99.99 | $175.53 | |
Cigna
| Professional | 26 | $56.43 | $69.41 | $123.72 |
ConnectiCare
| Professional | $54.77 | $106.65 | $173.42 | |
ConnectiCare
| Professional | 26 | $37.10 | $72.26 | $115.82 |
United
| Professional | $61.56 | $97.06 | $189.45 | |
United
| Professional | 26 | $43.89 | $68.23 | $127.76 |