| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.65 | $71.65 | $175.07 | |
Aetna
| Professional | $50.80 | $117.32 | $162.91 | |
Cigna
| Professional | $128.26 | $128.26 | $128.26 | |
ConnectiCare
| Professional | $197.53 | $204.20 | $292.02 | |
United
| Professional | $126.83 | $213.08 | $424.69 |