| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $42.66 | $42.66 | |
Aetna
| Professional | $32.36 | $44.67 | $416.87 | |
Anthem BCBS
| Professional | $204.17 | $478.63 | $691.83 | |
Cigna
| Professional | $151.36 | $269.15 | $354.81 | |
ConnectiCare
| Facility | $302.00 | $302.00 | $302.00 | |
ConnectiCare
| Professional | $190.55 | $363.08 | $537.03 | |
United
| Professional | $50.12 | $77.62 | $109.65 |