| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $19.95 | |
Aetna
| Professional | $19.95 | $19.95 | $19.95 | |
Anthem BCBS
| Professional | $12.59 | $12.59 | $12.59 | |
Cigna
| Professional | $28.84 | $28.84 | $28.84 | |
ConnectiCare
| Professional | $20.42 | $20.42 | $20.42 | |
United
| Professional | $26.30 | $50.12 | $67.61 |