| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.52 | $94.32 | $202.27 | |
Aetna
| Professional | $57.90 | $61.52 | $61.52 | |
Anthem BCBS
| Facility | $75.40 | $107.01 | $309.08 | |
Anthem BCBS
| Professional | $60.32 | $61.52 | $61.52 | |
Cigna
| Facility | $61.52 | $61.52 | $61.52 | |
Cigna
| Professional | $61.52 | $61.52 | $61.52 | |
ConnectiCare
| Professional | $60.31 | $105.06 | $121.04 | |
United
| Professional | $57.30 | $60.32 | $63.34 |