| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.57 | $187.57 | $187.57 | |
Aetna
| Professional | $176.54 | $187.57 | $187.57 | |
Anthem BCBS
| Facility | $126.47 | $163.16 | $607.54 | |
Anthem BCBS
| Professional | $120.51 | $160.68 | $177.29 | |
Cigna
| Facility | $187.57 | $187.57 | $308.68 | |
Cigna
| Professional | $187.57 | $187.57 | $187.57 | |
ConnectiCare
| Professional | $149.16 | $149.16 | $157.93 |