| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.34 | $81.34 | $81.34 | |
Aetna
| Professional | $59.15 | $76.12 | $81.34 | |
Anthem BCBS
| Professional | $87.11 | $136.68 | $194.51 | |
ConnectiCare
| Professional | $123.65 | $176.77 | $209.87 | |
United
| Professional | $60.76 | $92.73 | $160.44 |