| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
Anthem BCBS
| Professional | $4.27 | $5.01 | $9.33 | |
ConnectiCare
| Professional | $9.33 | $64,565.42 | $64,565.42 | |
United
| Professional | $50.12 | $50.12 | $50.12 |