| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.26 | $43.26 | $43.26 | |
Aetna
| Professional | $32.50 | $43.26 | $405.04 | |
Anthem BCBS
| Professional | $148.00 | $320.00 | $429.48 | |
Cigna
| Professional | $174.00 | $288.00 | $369.57 | |
ConnectiCare
| Facility | $300.00 | $2,346.67 | $2,518.00 | |
ConnectiCare
| Professional | $168.32 | $366.16 | $537.88 | |
United
| Professional | $52.00 | $85.00 | $114.00 |