| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.00 | $200.00 | $768.92 | |
Aetna
| Professional | $128.00 | $128.00 | $128.00 | |
Anthem BCBS
| Facility | $14.36 | $293.50 | $495.00 | |
Anthem BCBS
| Professional | $24.60 | $90.00 | $149.00 | |
Cigna
| Facility | $298.88 | $643.28 | $1,148.29 | |
ConnectiCare
| Professional | $230.00 | $364.40 | $494.00 | |
United
| Professional | $92.00 | $123.48 | $350.98 |