| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.48 | $49.06 | $624.00 | |
Aetna
| Professional | $26.48 | $26.48 | $26.48 | |
Anthem BCBS
| Facility | $25.46 | $38.70 | $80.54 | |
Anthem BCBS
| Professional | $25.46 | $25.46 | $25.46 | |
Cigna
| Facility | $25.46 | $25.46 | $25.46 | |
Cigna
| Professional | $25.46 | $25.46 | $25.46 | |
ConnectiCare
| Professional | $26.42 | $26.42 | $31.85 | |
United
| Professional | $22.91 | $25.46 | $40.31 |