| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $79.43 | $79.43 | |
Aetna
| Professional | $47.47 | $75.78 | $80.04 | |
Anthem BCBS
| Facility | $77.28 | $99.71 | $114.08 | |
Anthem BCBS
| Professional | $51.40 | $51.40 | $58.38 | |
Cigna
| Professional | $43.91 | $43.91 | $43.91 | |
ConnectiCare
| Facility | $64.81 | $64.81 | $64.81 | |
ConnectiCare
| Professional | $64.81 | $64.81 | $91.73 | |
United
| Professional | $37.96 | $49.73 | $93.00 |