| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.95 | $32.95 | $75.03 | |
Aetna
| Professional | $25.31 | $46.52 | $76.72 | |
Cigna
| Professional | $50.29 | $50.29 | $50.29 | |
ConnectiCare
| Professional | $47.71 | $47.71 | $47.71 | |
United
| Professional | $64.33 | $103.49 | $190.99 |