| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.00 | $81.09 | $177.54 | |
Aetna
| Professional | $54.00 | $54.00 | $54.00 | |
Anthem BCBS
| Facility | $50.94 | $80.48 | $158.69 | |
Anthem BCBS
| Professional | $52.94 | $52.94 | $54.00 | |
Cigna
| Facility | $54.00 | $54.00 | $54.00 | |
Cigna
| Professional | $54.00 | $54.00 | $54.00 | |
ConnectiCare
| Professional | $58.23 | $60.88 | $70.20 | |
United
| Professional | $47.65 | $52.94 | $59.29 |