| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $1.62 | $14.45 | $19.05 | |
ConnectiCare
| Facility | $309.03 | $309.03 | $309.03 | |
ConnectiCare
| Professional | $338.84 | $338.84 | $338.84 | |
United
| Professional | $50.12 | $50.12 | $50.12 |