| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.10 | $20.10 | $20.10 | |
Aetna
| Professional | $20.10 | $20.10 | $146.41 | |
Anthem BCBS
| Professional | $24.28 | $40.22 | $52.15 | |
Cigna
| Professional | $182.29 | $182.29 | $182.29 | |
ConnectiCare
| Professional | $325.69 | $465.59 | $731.32 | |
United
| Professional | $163.30 | $318.02 | $595.64 |