| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $450.00 | $450.00 | |
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
Cigna
| Facility | $450.00 | $450.00 | $530.23 | |
ConnectiCare
| Facility | $477.90 | $477.90 | $477.90 | |
ConnectiCare
| Professional | $477.90 | $477.90 | $477.90 | |
United
| Professional | $515.00 | $705.81 | $1,272.67 |