| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.00 | $115.00 | $115.00 | |
Anthem BCBS
| Facility | $20.56 | $29.73 | $58.99 | |
Anthem BCBS
| Professional | $8.64 | $20.59 | $30.76 | |
Cigna
| Professional | $23.95 | $25.34 | $29.94 | |
ConnectiCare
| Professional | $30.09 | $30.09 | $32.02 | |
United
| Professional | $11.13 | $20.17 | $48.84 |