| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $22.39 | $22.39 | |
Aetna
| Professional | $5.01 | $5.01 | $100.00 | |
Anthem BCBS
| Professional | $28.84 | $39.81 | $125.89 | |
ConnectiCare
| Professional | $131.83 | $204.17 | $263.03 | |
United
| Professional | $117.49 | $125.89 | $125.89 |