| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $23.99 | $23.99 | |
Aetna
| Professional | $14.13 | $23.99 | $32.36 | |
Anthem BCBS
| Professional | $11.75 | $22.91 | $30.20 | |
Cigna
| Professional | $194.98 | $194.98 | $194.98 | |
ConnectiCare
| Professional | $13.80 | $57.54 | $83.18 | |
United
| Professional | $2.45 | $21.38 | $64.57 |