| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.48 | $35.48 | $35.48 | |
Cigna
| Facility | $35.48 | $35.48 | $67.61 | |
Cigna
| Professional | $31.62 | $31.62 | $31.62 | |
ConnectiCare
| Facility | $42.66 | $42.66 | $42.66 | |
ConnectiCare
| Professional | $42.66 | $42.66 | $42.66 | |
United
| Professional | $32.36 | $47.86 | $117.49 |