| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.00 | $102.00 | $102.00 | |
Anthem BCBS
| Facility | $20.22 | $29.26 | $58.04 | |
Anthem BCBS
| Professional | $5.04 | $11.19 | $30.49 | |
Cigna
| Professional | $12.39 | $12.39 | $15.49 | |
ConnectiCare
| Professional | $64,999.35 | $64,999.35 | $64,999.35 |