| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.00 | $57.00 | $57.00 | |
Anthem BCBS
| Facility | $17.21 | $24.89 | $49.39 | |
Anthem BCBS
| Professional | $3.02 | $9.73 | $23.36 | |
Cigna
| Professional | $21.06 | $21.06 | $26.33 | |
ConnectiCare
| Professional | $64,999.35 | $64,999.35 | $64,999.35 |