| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $30.20 | $30.20 | |
Aetna
| Professional | $30.20 | $30.20 | $30.20 | |
Anthem BCBS
| Facility | $30.20 | $38.90 | $46.77 | |
Anthem BCBS
| Professional | $39.81 | $39.81 | $41.69 | |
Cigna
| Professional | $14.79 | $14.79 | $14.79 | |
ConnectiCare
| Professional | $34.67 | $58.88 | $85.11 | |
United
| Professional | $14.79 | $22.39 | $33.88 |