| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.04 | $46.04 | $46.04 | |
Aetna
| Professional | $4.25 | $46.04 | $46.04 | |
Anthem BCBS
| Professional | $26.25 | $35.00 | $38.50 | |
Cigna
| Professional | $36.96 | $36.96 | $36.96 | |
ConnectiCare
| Professional | $38,249.62 | $38,249.62 | $38,249.62 |