| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.17 | $105.17 | $105.17 | |
Aetna
| Professional | $175.85 | $227.95 | $282.66 | |
Anthem BCBS
| Professional | $109.29 | $153.06 | $389.63 | |
Cigna
| Facility | $887.24 | $929.42 | $980.52 | |
Cigna
| Professional | $238.39 | $393.26 | $685.55 | |
ConnectiCare
| Professional | $301.67 | $407.35 | $699.84 | |
United
| Professional | $204.78 | $303.67 | $654.10 |