| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.92 | $191.92 | $191.92 | |
Aetna
| Professional | $191.92 | $191.92 | $191.92 | |
Anthem BCBS
| Facility | $170.18 | $279.38 | $575.28 | |
Anthem BCBS
| Professional | $171.72 | $171.72 | $171.72 | |
Cigna
| Facility | $188.55 | $188.55 | $188.55 | |
Cigna
| Professional | $188.55 | $188.55 | $188.55 | |
ConnectiCare
| Professional | $154.55 | $154.55 | $181.82 | |
United
| Professional | $168.35 | $168.35 | $185.86 |