| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.29 | $585.08 | $681.20 | |
Aetna
| Professional | $138.74 | $140.12 | $166.49 | |
Anthem BCBS
| Professional | $138.74 | $138.74 | $138.74 | |
Cigna
| Facility | $138.74 | $138.74 | $138.74 | |
Cigna
| Professional | $138.74 | $138.74 | $138.74 | |
ConnectiCare
| Professional | $150.52 | $150.52 | $228.92 | |
United
| Professional | $131.80 | $138.74 | $147.06 |