| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $4,664.00 | $9,505.79 | |
Aetna
| Professional | $81.20 | $138.60 | $391.81 | |
Anthem BCBS
| Facility | $8,931.00 | $13,478.00 | $17,938.00 | |
Anthem BCBS
| Professional | $95.54 | $147.69 | $220.09 | |
Anthem BCBS
| Professional | 50 | $143.31 | $221.54 | $330.14 |
Cigna
| Professional | $104.85 | $185.85 | $303.04 | |
ConnectiCare
| Professional | $163.12 | $191.91 | $200.48 | |
United
| Facility | $3,414.00 | $5,950.00 | $9,338.00 | |
United
| Professional | $138.24 | $196.41 | $310.20 |