| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.96 | $255.09 | $474.10 | |
Aetna
| Professional | $169.96 | $169.96 | $169.96 | |
Anthem BCBS
| Facility | $166.75 | $264.43 | $515.29 | |
Anthem BCBS
| Professional | $170.09 | $170.09 | $170.09 | |
Cigna
| Facility | $186.76 | $186.76 | $186.76 | |
Cigna
| Professional | $186.76 | $186.76 | $186.76 | |
ConnectiCare
| Facility | $179.96 | $179.96 | $179.96 | |
ConnectiCare
| Professional | $179.96 | $199.95 | $199.95 | |
United
| Professional | $166.75 | $166.75 | $183.95 |