| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.92 | $92.92 | $92.92 | |
Aetna
| Professional | $59.10 | $65.98 | $92.92 | |
Anthem BCBS
| Professional | $68.26 | $105.92 | $137.08 | |
Cigna
| Professional | $66.06 | $66.06 | $66.06 | |
ConnectiCare
| Professional | $62.59 | $62.59 | $62.59 | |
United
| Professional | $71.50 | $102.55 | $139.38 |