| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $144.54 | $144.54 | |
Aetna
| Professional | $91.20 | $117.49 | $134.90 | |
Anthem BCBS
| Professional | $83.18 | $114.82 | $147.91 | |
ConnectiCare
| Professional | $131.83 | $204.17 | $263.03 | |
United
| Professional | $117.49 | $125.89 | $125.89 |