| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.40 | $27.40 | $27.40 | |
Aetna
| Professional | $21.01 | $27.40 | $27.40 | |
Anthem BCBS
| Professional | $20.36 | $99.12 | $138.35 | |
ConnectiCare
| Professional | $22.97 | $32.84 | $55.50 | |
United
| Professional | $18.52 | $28.98 | $44.50 |