| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $30.20 | $30.20 | |
Aetna
| Professional | $30.20 | $37.15 | $48.98 | |
Anthem BCBS
| Professional | $29.51 | $40.74 | $52.48 | |
Cigna
| Professional | $69.18 | $69.18 | $181.97 | |
ConnectiCare
| Professional | $14.13 | $21.38 | $27.54 | |
United
| Professional | $15.14 | $24.55 | $51.29 |