| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.73 | $95.73 | $95.73 | |
Aetna
| Professional | $59.75 | $67.62 | $95.73 | |
Anthem BCBS
| Professional | $70.73 | $103.99 | $134.59 | |
Cigna
| Professional | $65.77 | $65.77 | $65.77 | |
ConnectiCare
| Professional | $61.76 | $61.76 | $61.76 | |
United
| Professional | $71.48 | $101.40 | $139.37 |