| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.00 | $42.00 | $42.00 | |
Aetna
| Professional | $42.00 | $42.00 | $42.00 | |
Anthem BCBS
| Facility | $41.40 | $53.42 | $61.12 | |
Anthem BCBS
| Professional | $60.11 | $60.11 | $63.00 | |
Cigna
| Professional | $39.75 | $39.75 | $39.75 | |
ConnectiCare
| Professional | $43.14 | $80.13 | $115.92 | |
United
| Professional | $20.74 | $31.12 | $47.68 |