| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $128.82 | |
Aetna
| Professional | $79.43 | $104.71 | $128.82 | |
Anthem BCBS
| Professional | $95.50 | $128.82 | $275.42 | |
Cigna
| Professional | $95.50 | $95.50 | $95.50 | |
ConnectiCare
| Professional | $134.90 | $169.82 | $239.88 | |
United
| Professional | $97.72 | $134.90 | $263.03 |