| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.06 | $146.06 | $146.06 | |
Aetna
| Professional | $14.22 | $18.07 | $146.06 | |
Anthem BCBS
| Professional | $28.69 | $48.34 | $62.50 | |
Cigna
| Professional | $19.57 | $23.00 | $36.00 | |
ConnectiCare
| Professional | $130.03 | $130.03 | $130.03 | |
United
| Professional | $23.82 | $118.23 | $317.30 |