| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.00 | $107.00 | $107.00 | |
Anthem BCBS
| Facility | $19.36 | $28.01 | $55.57 | |
Anthem BCBS
| Professional | $12.96 | $22.35 | $29.20 | |
Cigna
| Professional | $21.89 | $21.89 | $27.36 | |
ConnectiCare
| Professional | $64,999.35 | $64,999.35 | $64,999.35 |