| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.13 | $151.36 | $181.97 | |
Aetna
| Professional | $25.12 | $34.67 | $134.90 | |
Anthem BCBS
| Professional | $28.84 | $48.98 | $70.79 | |
Cigna
| Facility | $109.65 | $117.49 | $125.89 | |
Cigna
| Professional | $34.67 | $52.48 | $97.72 | |
ConnectiCare
| Professional | $40.74 | $48.98 | $60.26 | |
United
| Professional | $30.20 | $44.67 | $77.62 |