| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $58.88 | $58.88 | |
Aetna
| Professional | $50.12 | $54.95 | $54.95 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $48.98 | $100.00 | $165.96 | |
ConnectiCare
| Professional | $64,565.42 | $64,565.42 | $64,565.42 |