| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.03 | $123.03 | $123.03 | |
Anthem BCBS
| Facility | $22.39 | $31.62 | $54.95 | |
Anthem BCBS
| Professional | $8.91 | $13.49 | $30.90 | |
Cigna
| Professional | $16.22 | $25.12 | $45.71 | |
ConnectiCare
| Professional | $30.20 | $30.20 | $33.11 | |
United
| Professional | $11.22 | $17.78 | $48.98 |