| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.63 | $24.63 | $24.63 | |
Aetna
| Professional | $24.63 | $24.63 | $25.20 | |
Anthem BCBS
| Professional | $13.96 | $25.93 | $30.76 | |
ConnectiCare
| Professional | $45.42 | $47.03 | $117.25 | |
United
| Professional | $11.62 | $26.74 | $76.95 |