| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.38 | $151.38 | $151.38 | |
Aetna
| Professional | $123.34 | $151.38 | $271.60 | |
Anthem BCBS
| Facility | $21.96 | $90.76 | $756.00 | |
Anthem BCBS
| Professional | $22.92 | $27.19 | $66.38 | |
Cigna
| Professional | $73.14 | $73.14 | $73.14 | |
ConnectiCare
| Professional | $24.15 | $108.92 | $114.10 | |
United
| Professional | $19.89 | $37.42 | $104.50 |