| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.38 | $112.11 | $199.86 | |
Aetna
| Professional | $74.38 | $74.38 | $74.38 | |
Anthem BCBS
| Facility | $89.40 | $121.11 | $247.20 | |
Anthem BCBS
| Professional | $71.52 | $71.52 | $71.52 | |
Cigna
| Facility | $71.52 | $71.52 | $71.52 | |
Cigna
| Professional | $71.52 | $71.52 | $71.52 | |
ConnectiCare
| Professional | $71.52 | $74.22 | $89.47 | |
United
| Professional | $64.37 | $71.52 | $196.57 |