| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.08 | $93.08 | $93.08 | |
Aetna
| Professional | $49.96 | $74.03 | $93.08 | |
Anthem BCBS
| Professional | $74.16 | $99.50 | $167.98 | |
Cigna
| Professional | $66.06 | $66.06 | $66.06 | |
ConnectiCare
| Professional | $62.59 | $62.59 | $62.59 | |
United
| Professional | $71.50 | $101.67 | $139.38 |