| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.23 | $97.56 | $177.95 | |
Aetna
| Professional | $66.23 | $66.23 | $66.23 | |
Anthem BCBS
| Facility | $56.76 | $96.81 | $190.88 | |
Anthem BCBS
| Professional | $63.68 | $63.68 | $63.68 | |
Cigna
| Facility | $63.68 | $63.68 | $63.68 | |
Cigna
| Professional | $63.68 | $63.68 | $63.68 | |
ConnectiCare
| Professional | $66.09 | $69.09 | $79.67 | |
United
| Professional | $57.31 | $63.68 | $126.94 |