| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.82 | $104.82 | $118.57 | |
Anthem BCBS
| Facility | $7,824.00 | $8,848.00 | $11,797.00 | |
Anthem BCBS
| Professional | $56.22 | $70.66 | $82.45 | |
ConnectiCare
| Professional | $101.62 | $101.62 | $101.62 | |
United
| Professional | $73.04 | $103.47 | $200.54 |