| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.65 | $116.16 | $290.00 | |
Anthem BCBS
| Professional | $48.19 | $128.84 | $382.28 | |
Cigna
| Professional | $54.45 | $131.60 | $418.35 | |
ConnectiCare
| Professional | $188.03 | $256.82 | $450.97 | |
United
| Professional | $123.56 | $232.45 | $640.25 |