| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.01 | $165.22 | $361.66 | |
Aetna
| Professional | $110.01 | $110.01 | $110.01 | |
Anthem BCBS
| Professional | $83.88 | $100.74 | $123.03 | |
Cigna
| Facility | $138.83 | $138.83 | $138.83 | |
ConnectiCare
| Professional | $110.01 | $110.01 | $110.01 | |
United
| Professional | $116.48 | $129.41 | $143.66 |