| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.66 | $131.66 | $131.66 | |
Aetna
| Professional | $69.18 | $99.82 | $131.66 | |
Anthem BCBS
| Professional | $107.28 | $155.38 | $218.06 | |
Cigna
| Professional | $92.85 | $92.85 | $92.85 | |
ConnectiCare
| Professional | $122.13 | $158.19 | $224.48 | |
United
| Professional | $101.35 | $158.21 | $288.61 |