| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.91 | $64.91 | $97.31 | |
Aetna
| Professional | $62.41 | $63.04 | $68.66 | |
Anthem BCBS
| Professional | $62.41 | $62.41 | $62.41 | |
Cigna
| Facility | $62.41 | $62.41 | $62.41 | |
Cigna
| Professional | $62.41 | $62.41 | $62.41 | |
ConnectiCare
| Professional | $64.77 | $64.77 | $78.06 | |
United
| Professional | $59.29 | $62.41 | $69.28 |