| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.97 | $188.91 | $276.60 | |
Aetna
| Professional | $151.97 | $151.97 | $151.97 | |
Anthem BCBS
| Facility | $134.79 | $199.56 | $366.56 | |
Anthem BCBS
| Professional | $118.62 | $118.62 | $140.58 | |
Cigna
| Facility | $151.97 | $151.97 | $151.97 | |
Cigna
| Professional | $151.97 | $151.97 | $151.97 | |
ConnectiCare
| Professional | $151.97 | $151.97 | $151.97 |