| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $52.48 | $52.48 | |
Aetna
| Professional | $52.48 | $52.48 | $52.48 | |
Anthem BCBS
| Facility | $48.98 | $63.10 | $75.86 | |
Anthem BCBS
| Professional | $66.07 | $72.44 | $72.44 | |
Cigna
| Professional | $21.38 | $21.38 | $21.38 | |
ConnectiCare
| Professional | $56.23 | $93.33 | $134.90 | |
United
| Professional | $23.44 | $35.48 | $54.95 |