| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.06 | $63.06 | $63.06 | |
Aetna
| Professional | $49.49 | $59.37 | $93.19 | |
Anthem BCBS
| Professional | $40.07 | $58.54 | $103.68 | |
Cigna
| Facility | $125.37 | $370.80 | $672.41 | |
Cigna
| Professional | $96.75 | $96.75 | $96.75 | |
ConnectiCare
| Facility | $2,346.67 | $2,466.00 | $2,518.00 | |
United
| Professional | $50.45 | $82.23 | $165.38 |