| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.00 | $165.00 | $165.00 | |
Anthem BCBS
| Facility | $13.43 | $19.42 | $38.53 | |
Anthem BCBS
| Professional | $3.91 | $4.61 | $18.23 | |
Cigna
| Professional | $15.69 | $15.69 | $19.62 | |
ConnectiCare
| Professional | $64,999.35 | $64,999.35 | $64,999.35 |