| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.50 | $125.50 | $358.35 | |
Aetna
| Professional | $125.50 | $125.50 | $125.50 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $170.49 | |
Anthem BCBS
| Professional | $135.00 | $135.00 | $135.00 | |
Cigna
| Facility | $137.94 | $137.94 | $137.94 | |
Cigna
| Professional | $137.94 | $137.94 | $137.94 | |
ConnectiCare
| Facility | $132.88 | $132.88 | $132.88 | |
ConnectiCare
| Professional | $110.51 | $127.31 | $133.21 | |
United
| Professional | $132.88 | $147.65 | $162.41 |