| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.32 | $92.32 | $92.32 | |
Aetna
| Professional | $64.43 | $92.32 | $162.28 | |
Anthem BCBS
| Professional | $66.95 | $180.03 | $233.43 | |
Cigna
| Professional | $63.51 | $63.51 | $63.51 | |
ConnectiCare
| Professional | $325.69 | $465.59 | $731.32 | |
United
| Professional | $156.01 | $307.69 | $595.64 |