| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.24 | $163.24 | $466.12 | |
Aetna
| Professional | $163.24 | $163.24 | $163.24 | |
Anthem BCBS
| Facility | $0.02 | $0.03 | $522.44 | |
Anthem BCBS
| Professional | $176.00 | $176.00 | $176.00 | |
Cigna
| Facility | $179.39 | $179.39 | $179.39 | |
Cigna
| Professional | $151.69 | $179.39 | $179.39 | |
ConnectiCare
| Facility | $172.85 | $172.85 | $172.85 | |
ConnectiCare
| Professional | $172.85 | $192.05 | $192.05 | |
United
| Professional | $164.98 | $164.98 | $181.48 |