| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.00 | $24.00 | $24.00 | |
Anthem BCBS
| Facility | $21.90 | $31.68 | $62.84 | |
Anthem BCBS
| Professional | $4.03 | $4.75 | $29.07 | |
Cigna
| Professional | $26.02 | $26.02 | $32.52 | |
ConnectiCare
| Professional | $64,999.35 | $64,999.35 | $64,999.35 |