| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.78 | $105.78 | $163.87 | |
Aetna
| Professional | $101.72 | $102.73 | $106.80 | |
Anthem BCBS
| Professional | $101.72 | $101.72 | $101.72 | |
Cigna
| Facility | $101.72 | $101.72 | $101.72 | |
Cigna
| Professional | $101.72 | $101.72 | $101.72 | |
ConnectiCare
| Professional | $110.35 | $110.35 | $167.84 | |
United
| Professional | $96.63 | $101.72 | $107.90 |