| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.40 | $119.40 | $119.40 | |
Aetna
| Professional | $63.33 | $97.81 | $137.94 | |
Anthem BCBS
| Professional | $54.15 | $84.74 | $206.12 | |
Cigna
| Professional | $81.84 | $81.84 | $81.84 | |
ConnectiCare
| Professional | $105.11 | $138.47 | $251.58 | |
United
| Professional | $96.62 | $148.16 | $278.08 |