| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $2.00 | $2.00 | |
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Anthem BCBS
| Professional | $120.23 | $120.23 | $123.03 | |
Cigna
| Professional | $100.00 | $100.00 | $100.00 | |
ConnectiCare
| Professional | $467.74 | $467.74 | $467.74 | |
United
| Professional | $54.95 | $60.26 | $67.61 |