| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.50 | $54.64 | $141.34 | |
Aetna
| Professional | $49.50 | $49.50 | $49.50 | |
Anthem BCBS
| Facility | $44.12 | $74.55 | $148.38 | |
Anthem BCBS
| Professional | $44.41 | $44.41 | $44.41 | |
Cigna
| Facility | $48.76 | $48.76 | $48.76 | |
Cigna
| Professional | $48.76 | $48.76 | $48.76 | |
ConnectiCare
| Facility | $46.89 | $46.89 | $46.89 | |
ConnectiCare
| Professional | $23.13 | $26.65 | $46.89 | |
United
| Professional | $43.54 | $46.89 | $47.93 |