| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $109.65 | $109.65 | |
Aetna
| Professional | $69.18 | $97.72 | $128.82 | |
Anthem BCBS
| Professional | $3.89 | $5.75 | $125.89 | |
ConnectiCare
| Professional | $131.83 | $204.17 | $263.03 | |
United
| Professional | $117.49 | $125.89 | $125.89 |