| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.17 | $22.17 | $22.17 | |
Aetna
| Professional | $14.39 | $16.29 | $22.17 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
ConnectiCare
| Professional | $14.77 | $14.77 | $14.77 | |
United
| Professional | $17.07 | $23.98 | $32.81 |