| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.00 | $14.00 | $14.00 | |
Anthem BCBS
| Facility | $25.15 | $36.38 | $72.18 | |
Anthem BCBS
| Professional | $1.71 | $2.22 | $33.14 | |
Cigna
| Professional | $21.48 | $21.48 | $26.85 | |
ConnectiCare
| Professional | $64,999.35 | $64,999.35 | $64,999.35 |