| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.12 | $171.12 | $171.12 | |
Aetna
| Professional | $91.22 | $171.12 | $212.60 | |
Anthem BCBS
| Professional | $114.18 | $114.18 | $114.18 | |
Cigna
| Professional | $135.78 | $135.78 | $135.78 | |
ConnectiCare
| Professional | $214.72 | $398.85 | $577.00 | |
United
| Professional | $101.24 | $132.65 | $202.47 |