| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.53 | $72.53 | $72.53 | |
Aetna
| Professional | $57.15 | $72.53 | $77.97 | |
Anthem BCBS
| Professional | $150.00 | $150.00 | $150.00 | |
Cigna
| Professional | $47.79 | $47.79 | $47.79 | |
ConnectiCare
| Professional | $96.12 | $178.55 | $258.30 | |
United
| Professional | $45.32 | $59.38 | $90.63 |