| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.15 | $178.65 | $526.71 | |
Aetna
| Professional | $65.00 | $65.00 | $141.47 | |
Anthem BCBS
| Facility | $39.92 | $64.62 | $271.26 | |
Anthem BCBS
| Professional | $54.88 | $69.87 | $90.42 | |
Cigna
| Facility | $107.42 | $183.62 | $559.47 | |
Cigna
| Professional | $76.14 | $169.94 | $308.58 | |
ConnectiCare
| Professional | $115.29 | $182.48 | $231.53 | |
United
| Professional | $63.02 | $82.20 | $240.42 |