| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.25 | $67.25 | $67.25 | |
Aetna
| Professional | $55.88 | $67.25 | $67.25 | |
Anthem BCBS
| Facility | $181.89 | $242.00 | $432.13 | |
Anthem BCBS
| Professional | $55.94 | $87.88 | $112.78 | |
Cigna
| Facility | $40.06 | $80.73 | $160.75 | |
ConnectiCare
| Professional | $128.11 | $128.11 | $128.11 | |
United
| Professional | $58.76 | $86.53 | $190.28 |