| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $199.53 | $457.09 | |
Aetna
| Professional | $128.82 | $128.82 | $194.98 | |
Anthem BCBS
| Facility | $251.19 | $331.13 | $537.03 | |
Anthem BCBS
| Professional | $17.38 | $28.18 | $257.04 | |
Cigna
| Facility | $128.82 | $691.83 | $1,000.00 | |
ConnectiCare
| Professional | $269.15 | $371.54 | $371.54 | |
United
| Professional | $95.50 | $120.23 | $354.81 |