| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.13 | $307.13 | $307.13 | |
Aetna
| Professional | $276.10 | $314.24 | $359.63 | |
Anthem BCBS
| Facility | $489.74 | $631.91 | $722.98 | |
Anthem BCBS
| Professional | $368.99 | $368.99 | $385.43 | |
Cigna
| Facility | $427.13 | $427.13 | $427.13 | |
Cigna
| Professional | $311.80 | $311.80 | $427.13 | |
ConnectiCare
| Facility | $410.75 | $410.75 | $410.75 | |
ConnectiCare
| Professional | $410.75 | $454.98 | $631.91 | |
United
| Professional | $240.59 | $315.26 | $461.10 |