| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $14.82 | $5,266.80 | |
Aetna
| Professional | $13.00 | $14.82 | $14.82 | |
Anthem BCBS
| Professional | $2.85 | $3.81 | $4.19 | |
Cigna
| Professional | $130.77 | $130.77 | $130.77 | |
ConnectiCare
| Professional | $38,249.62 | $38,249.62 | $38,249.62 |