| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.67 | $65.67 | $65.67 | |
Aetna
| Professional | $65.67 | $65.67 | $65.67 | |
Anthem BCBS
| Facility | $72.56 | $98.07 | $193.37 | |
Anthem BCBS
| Professional | $66.06 | $66.06 | $66.06 | |
Cigna
| Facility | $72.25 | $72.25 | $72.25 | |
Cigna
| Professional | $72.25 | $72.25 | $72.25 | |
ConnectiCare
| Facility | $69.54 | $69.54 | $69.54 | |
ConnectiCare
| Professional | $69.54 | $85.00 | $102.46 | |
United
| Professional | $69.53 | $73.40 | $80.73 |