| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $42.66 | |
Aetna
| Professional | $25.12 | $32.36 | $40.74 | |
Aetna
| Professional | 25 | $131.83 | $131.83 | $144.54 |
Anthem BCBS
| Professional | $27.54 | $38.90 | $72.44 | |
Cigna
| Professional | $30.90 | $30.90 | $48.98 | |
ConnectiCare
| Professional | $52.48 | $53.70 | $77.62 | |
United
| Professional | $28.84 | $35.48 | $64.57 |