| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.50 | $35.50 | $35.50 | |
Cigna
| Facility | $35.50 | $35.50 | $41.83 | |
ConnectiCare
| Facility | $42.37 | $42.37 | $42.37 | |
ConnectiCare
| Professional | $42.37 | $42.37 | $42.37 | |
United
| Professional | $32.58 | $42.69 | $129.41 |