| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.40 | $411.52 | $688.00 | |
Aetna
| Professional | $64.98 | $90.90 | $171.37 | |
Anthem BCBS
| Professional | $75.45 | $193.58 | $275.45 | |
Cigna
| Facility | $87.53 | $166.22 | $330.49 | |
Cigna
| Professional | $82.23 | $110.03 | $211.16 | |
ConnectiCare
| Professional | $81.33 | $106.45 | $139.32 | |
United
| Professional | $69.63 | $103.21 | $178.90 |