| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $81.28 | $81.28 | |
Aetna
| Professional | $42.66 | $63.10 | $77.62 | |
Anthem BCBS
| Professional | $87.10 | $138.04 | $194.98 | |
Cigna
| Professional | $123.03 | $147.91 | $302.00 | |
ConnectiCare
| Professional | $123.03 | $173.78 | $208.93 | |
United
| Professional | $56.23 | $75.86 | $128.82 |