| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,560.00 | $7,629.00 | $10,492.00 | |
Anthem BCBS
| Facility | $2,826.00 | $4,945.58 | $10,432.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
ConnectiCare
| Professional | $55,249.45 | $55,249.45 | $55,249.45 | |
United
| Facility | $1,849.00 | $4,647.00 | $9,338.00 |