| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.00 | $136.00 | $136.00 | |
Anthem BCBS
| Facility | $22.25 | $32.18 | $63.84 | |
Anthem BCBS
| Professional | $5.01 | $5.90 | $30.19 | |
Cigna
| Professional | $23.95 | $23.95 | $29.94 | |
ConnectiCare
| Professional | $64,999.35 | $64,999.35 | $64,999.35 |