| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $262.51 | $4,228.00 | $8,031.00 | |
Aetna
| Professional | $125.00 | $183.18 | $360.54 | |
Anthem BCBS
| Facility | $5,410.00 | $6,763.00 | $10,432.00 | |
Anthem BCBS
| Professional | $142.56 | $205.74 | $293.51 | |
Cigna
| Facility | $50.00 | $50.00 | $50.00 | |
Cigna
| Professional | $146.25 | $229.12 | $402.29 | |
ConnectiCare
| Professional | $220.13 | $258.98 | $270.54 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 | |
United
| Professional | $173.02 | $256.38 | $438.09 |