| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.66 | $21.66 | $21.66 | |
Aetna
| Professional | $20.38 | $21.66 | $21.66 | |
Anthem BCBS
| Professional | $21.24 | $21.24 | $21.65 | |
ConnectiCare
| Professional | $11.90 | $11.90 | $11.90 |