| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.17 | $54.17 | $54.17 | |
Aetna
| Professional | $35.88 | $46.88 | $54.17 | |
Anthem BCBS
| Facility | $114.14 | $156.55 | $271.17 | |
Anthem BCBS
| Professional | $38.88 | $55.01 | $70.77 | |
Cigna
| Facility | $25.41 | $67.73 | $158.50 | |
Cigna
| Professional | $60.98 | $64.00 | $76.68 | |
ConnectiCare
| Professional | $74.79 | $87.69 | $150.80 | |
United
| Professional | $39.60 | $63.98 | $147.38 |