| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.50 | $156.44 | $417.33 | |
Aetna
| Professional | $79.50 | $98.63 | $105.00 | |
Anthem BCBS
| Facility | $64.90 | $220.13 | $371.25 | |
Anthem BCBS
| Professional | $67.50 | $90.00 | $164.88 | |
Cigna
| Facility | $150.15 | $321.27 | $612.57 | |
ConnectiCare
| Professional | $172.50 | $273.30 | $370.50 | |
United
| Professional | $63.00 | $90.00 | $263.24 |