| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $42.66 | $42.66 | |
Aetna
| Professional | $32.36 | $91.20 | $213.80 | |
Anthem BCBS
| Professional | $36.31 | $64.57 | $107.15 | |
Cigna
| Professional | $50.12 | $91.20 | $120.23 | |
ConnectiCare
| Professional | $72.44 | $95.50 | $120.23 | |
United
| Professional | $50.12 | $50.12 | $57.54 |