| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.39 | $18.39 | $18.39 | |
Aetna
| Professional | $17.52 | $18.39 | $18.39 | |
Anthem BCBS
| Professional | $11.25 | $15.00 | $18.62 | |
Cigna
| Facility | $18.39 | $18.39 | $18.39 | |
Cigna
| Professional | $18.39 | $18.39 | $18.39 | |
ConnectiCare
| Professional | $18.39 | $18.39 | $19.25 |