| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $275.42 | $281.84 | |
Aetna
| Professional | $64.57 | $97.72 | $144.54 | |
Anthem BCBS
| Facility | $107.15 | $151.36 | $234.42 | |
Anthem BCBS
| Professional | $89.13 | $89.13 | $89.13 | |
Cigna
| Facility | $95.50 | $95.50 | $95.50 | |
Cigna
| Professional | $95.50 | $95.50 | $95.50 | |
ConnectiCare
| Facility | $93.33 | $93.33 | $93.33 | |
ConnectiCare
| Professional | $41.69 | $43.65 | $93.33 | |
United
| Professional | $93.33 | $97.72 | $107.15 |