| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,862.00 | $7,521.00 | $9,479.00 | |
Aetna
| Facility | 52 | $196.94 | $196.94 | $245.91 |
Anthem BCBS
| Facility | $2,613.00 | $4,400.00 | $8,217.00 | |
Cigna
| Facility | $998.00 | $1,924.63 | $2,687.00 | |
ConnectiCare
| Facility | $837.20 | $1,077.65 | $1,552.85 | |
United
| Facility | $911.00 | $4,939.00 | $8,879.00 |