| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $107.15 | $190.55 | |
Aetna
| Professional | $63.10 | $63.10 | $74.13 | |
Anthem BCBS
| Facility | $72.44 | $100.00 | $158.49 | |
Anthem BCBS
| Professional | $64.57 | $64.57 | $64.57 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $64.57 | $64.57 | $64.57 | |
ConnectiCare
| Professional | $67.61 | $70.79 | $81.28 | |
United
| Professional | $57.54 | $64.57 | $125.89 |