| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.04 | $43.43 | $166.97 | |
Aetna
| Professional | $20.04 | $20.04 | $20.04 | |
Anthem BCBS
| Facility | $4.96 | $63.73 | $107.49 | |
Anthem BCBS
| Professional | $18.82 | $26.05 | $56.15 | |
Cigna
| Facility | $64.90 | $139.69 | $249.95 | |
ConnectiCare
| Professional | $49.94 | $79.13 | $107.27 | |
United
| Professional | $19.98 | $27.83 | $76.22 |