| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $190.55 | $302.00 | |
Aetna
| Professional | $69.18 | $93.33 | $199.53 | |
Anthem BCBS
| Facility | $89.13 | $169.82 | $295.12 | |
Anthem BCBS
| Professional | $53.70 | $75.86 | $269.15 | |
Cigna
| Facility | $70.79 | $144.54 | $436.52 | |
Cigna
| Professional | $72.44 | $134.90 | $269.15 | |
ConnectiCare
| Professional | $107.15 | $144.54 | $208.93 | |
United
| Professional | $52.48 | $74.13 | $190.55 |