| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.83 | $20.83 | $20.83 | |
Aetna
| Professional | $20.83 | $20.83 | $29.28 | |
Anthem BCBS
| Professional | $10.87 | $12.32 | $15.95 | |
ConnectiCare
| Facility | $80.00 | $89.00 | $171.00 | |
United
| Professional | $50.00 | $50.00 | $50.00 |