| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.27 | $248.22 | $453.78 | |
Aetna
| Professional | $158.91 | $160.51 | $165.27 | |
Anthem BCBS
| Facility | $171.54 | $266.19 | $491.09 | |
Anthem BCBS
| Professional | $158.91 | $158.91 | $158.91 | |
Cigna
| Facility | $158.91 | $158.91 | $158.91 | |
Cigna
| Professional | $158.91 | $158.91 | $158.91 | |
ConnectiCare
| Facility | $152.91 | $152.91 | $152.91 | |
ConnectiCare
| Professional | $137.93 | $172.41 | $198.79 | |
United
| Professional | $63.57 | $158.91 | $176.40 |