| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.97 | $155.97 | $155.97 | |
Aetna
| Professional | $97.31 | $110.28 | $155.97 | |
Anthem BCBS
| Professional | $115.17 | $170.47 | $220.62 | |
Cigna
| Professional | $107.43 | $107.43 | $107.43 | |
ConnectiCare
| Professional | $100.84 | $100.84 | $100.84 | |
United
| Professional | $117.34 | $168.21 | $228.75 |