| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $269.15 | $457.09 | |
Aetna
| Professional | $112.20 | $138.04 | $346.74 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
Anthem BCBS
| Professional | $102.33 | $138.04 | $338.84 | |
Cigna
| Facility | $138.04 | $138.04 | $138.04 | |
Cigna
| Professional | $138.04 | $138.04 | $138.04 | |
ConnectiCare
| Professional | $138.04 | $138.04 | $416.87 | |
United
| Professional | $302.00 | $331.13 | $346.74 |