| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.50 | $130.50 | $130.50 | |
Aetna
| Professional | $82.72 | $92.93 | $130.50 | |
Anthem BCBS
| Professional | $96.05 | $148.24 | $191.84 | |
Cigna
| Professional | $92.55 | $92.55 | $92.55 | |
ConnectiCare
| Professional | $87.62 | $87.62 | $87.62 | |
United
| Professional | $99.42 | $143.85 | $201.42 |