| 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 | $630.96 | |
Anthem BCBS
| Professional | $309.03 | $489.78 | $691.83 | |
ConnectiCare
| Facility | $446.68 | $446.68 | $446.68 | |
ConnectiCare
| Professional | $288.40 | $537.03 | $812.83 | |
United
| Professional | $50.12 | $77.62 | $109.65 |