| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.00 | $26.00 | $26.00 | |
Anthem BCBS
| Facility | $27.44 | $39.69 | $78.73 | |
Anthem BCBS
| Professional | $2.81 | $3.31 | $36.27 | |
Cigna
| Professional | $25.19 | $25.19 | $31.49 | |
ConnectiCare
| Professional | $64,999.35 | $64,999.35 | $64,999.35 |