| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.00 | $105.00 | $105.00 | |
Anthem BCBS
| Facility | $22.98 | $33.24 | $65.95 | |
Anthem BCBS
| Professional | $7.83 | $10.14 | $30.28 | |
Cigna
| Professional | $28.91 | $28.91 | $36.14 | |
ConnectiCare
| Professional | $64,999.35 | $64,999.35 | $64,999.35 |