| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.43 | $75.56 | $142.59 | |
Aetna
| Professional | $49.43 | $49.43 | $49.43 | |
Anthem BCBS
| Facility | $47.52 | $72.26 | $147.47 | |
Anthem BCBS
| Professional | $47.53 | $47.53 | $47.53 | |
Cigna
| Facility | $47.52 | $47.52 | $47.52 | |
Cigna
| Professional | $47.52 | $47.52 | $47.52 | |
ConnectiCare
| Professional | $49.31 | $51.56 | $59.44 | |
United
| Professional | $42.78 | $47.53 | $105.89 |