| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.22 | $162.22 | $162.22 | |
Aetna
| Professional | $93.19 | $133.32 | $200.72 | |
Anthem BCBS
| Professional | $54.15 | $120.01 | $278.22 | |
Cigna
| Professional | $115.76 | $115.76 | $115.76 | |
ConnectiCare
| Professional | $148.79 | $195.87 | $355.86 | |
United
| Professional | $131.24 | $193.18 | $377.70 |