| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.63 | $4,228.00 | $8,031.00 | |
Aetna
| Professional | $78.48 | $120.61 | $233.83 | |
Anthem BCBS
| Facility | $5,410.00 | $6,763.00 | $10,432.00 | |
Anthem BCBS
| Professional | $90.30 | $132.87 | $199.03 | |
Cigna
| Facility | $50.00 | $50.00 | $50.00 | |
Cigna
| Professional | $92.49 | $149.88 | $270.33 | |
ConnectiCare
| Professional | $148.72 | $174.97 | $182.79 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 | |
United
| Professional | $108.14 | $154.49 | $283.99 |