| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $114.82 | $114.82 | |
Anthem BCBS
| Facility | $20.42 | $28.84 | $48.98 | |
Anthem BCBS
| Professional | $8.71 | $16.60 | $28.18 | |
Cigna
| Professional | $17.78 | $25.12 | $30.20 | |
ConnectiCare
| Professional | $30.20 | $30.20 | $33.11 | |
United
| Professional | $11.22 | $17.78 | $48.98 |