| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.54 | $12.54 | $12.54 | |
Aetna
| Professional | $6.68 | $12.54 | $119.32 | |
Anthem BCBS
| Professional | $15.29 | $378.44 | $469.89 | |
ConnectiCare
| Professional | $60.22 | $60.22 | $60.22 | |
United
| Professional | $243.67 | $1,205.68 | $1,873.23 |