| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.05 | $112.05 | $112.05 | |
Aetna
| Professional | $105.46 | $112.05 | $112.05 | |
Anthem BCBS
| Professional | $21.37 | $28.50 | $35.38 | |
Cigna
| Facility | $112.05 | $112.05 | $112.05 | |
Cigna
| Professional | $112.05 | $112.05 | $112.05 | |
ConnectiCare
| Professional | $36.26 | $36.26 | $36.26 |