| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.56 | $48.56 | $75.97 | |
Aetna
| Professional | $46.28 | $48.56 | $48.56 | |
Anthem BCBS
| Professional | $110.41 | $147.22 | $165.56 | |
Cigna
| Facility | $48.56 | $48.56 | $48.56 | |
Cigna
| Professional | $48.56 | $48.56 | $48.56 | |
ConnectiCare
| Professional | $159.72 | $1,338.75 | $1,338.75 | |
United
| Professional | $54.27 | $57.13 | $59.99 |