| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,677.35 | $4,677.35 | $4,677.35 | |
Aetna
| Professional | $1,000.00 | $1,000.00 | $1,778.28 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
ConnectiCare
| Professional | $38,018.94 | $38,018.94 | $38,018.94 |