| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $354.81 | $354.81 | |
Aetna
| Professional | $125.89 | $125.89 | $234.42 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
Anthem BCBS
| Professional | $134.90 | $134.90 | $134.90 | |
Cigna
| Facility | $169.82 | $169.82 | $169.82 | |
ConnectiCare
| Facility | $131.83 | $131.83 | $131.83 | |
ConnectiCare
| Professional | $109.65 | $114.82 | $131.83 | |
United
| Professional | $131.83 | $147.91 | $162.18 |