| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.55 | $153.55 | $153.55 | |
Aetna
| Professional | $25.76 | $30.10 | $153.55 | |
Anthem BCBS
| Professional | $25.12 | $36.70 | $54.20 | |
Cigna
| Facility | $111.23 | $116.51 | $122.91 | |
Cigna
| Professional | $29.94 | $50.09 | $83.70 | |
ConnectiCare
| Professional | $37.83 | $51.09 | $87.75 | |
United
| Professional | $25.76 | $38.07 | $81.99 |