| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $190.55 | |
Aetna
| Professional | $190.55 | $190.55 | $190.55 | |
Anthem BCBS
| Facility | $0.02 | $295.12 | $457.09 | |
Anthem BCBS
| Professional | $173.78 | $173.78 | $173.78 | |
Cigna
| Facility | $190.55 | $190.55 | $190.55 | |
Cigna
| Professional | $190.55 | $190.55 | $190.55 | |
ConnectiCare
| Professional | $154.88 | $154.88 | $154.88 | |
United
| Professional | $169.82 | $169.82 | $186.21 |