| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $719.97 | $719.97 | $719.97 | |
Aetna
| Professional | $907.87 | $934.03 | $1,358.66 | |
Anthem BCBS
| Facility | $12,098.00 | $12,905.00 | $17,206.00 | |
Anthem BCBS
| Professional | $399.87 | $896.27 | $1,040.50 | |
ConnectiCare
| Professional | $577.39 | $577.39 | $640.91 | |
United
| Professional | $415.03 | $682.66 | $1,532.17 |