| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $141.25 | |
Aetna
| Professional | $34.67 | $41.69 | $64.57 | |
Anthem BCBS
| Facility | $79.43 | $107.15 | $173.78 | |
Anthem BCBS
| Professional | $12.02 | $38.90 | $72.44 | |
Cigna
| Facility | $41.69 | $104.71 | $371.54 | |
Cigna
| Professional | $74.13 | $74.13 | $93.33 | |
ConnectiCare
| Professional | $30.20 | $30.20 | $38.02 | |
United
| Professional | $26.92 | $47.86 | $134.90 |