| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.69 | $119.69 | $261.98 | |
Aetna
| Professional | $79.69 | $79.69 | $79.69 | |
Anthem BCBS
| Professional | $59.62 | $71.72 | $87.45 | |
Cigna
| Facility | $79.50 | $79.50 | $79.50 | |
Cigna
| Professional | $79.50 | $79.50 | $79.50 | |
ConnectiCare
| Professional | $79.69 | $79.69 | $79.69 | |
United
| Professional | $81.62 | $90.69 | $100.67 |