| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $89.13 | $89.13 | |
Aetna
| Professional | $89.13 | $89.13 | $89.13 | |
Anthem BCBS
| Professional | $151.36 | $151.36 | $151.36 | |
Cigna
| Professional | $91.20 | $91.20 | $91.20 | |
ConnectiCare
| Professional | $275.42 | $275.42 | $275.42 | |
United
| Professional | $54.95 | $60.26 | $67.61 |