| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.00 | $95.00 | $95.00 | |
Anthem BCBS
| Facility | $29.43 | $42.58 | $84.47 | |
Anthem BCBS
| Professional | $5.62 | $6.62 | $39.96 | |
Cigna
| Professional | $21.48 | $21.48 | $26.85 | |
ConnectiCare
| Professional | $64,999.35 | $64,999.35 | $64,999.35 |