| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $304.14 | $304.14 | $304.14 | |
Aetna
| Professional | $107.52 | $131.85 | $235.57 | |
Anthem BCBS
| Professional | $109.34 | $189.71 | $303.76 | |
Cigna
| Facility | $199.79 | $410.52 | $410.52 | |
Cigna
| Professional | $121.56 | $170.63 | $352.51 | |
ConnectiCare
| Professional | $138.46 | $177.35 | $248.23 | |
United
| Professional | $114.28 | $160.59 | $314.19 |