| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.77 | $130.77 | $130.77 | |
Aetna
| Professional | $52.85 | $130.77 | $130.77 | |
Anthem BCBS
| Professional | $68.00 | $88.80 | $145.07 | |
ConnectiCare
| Professional | $87.35 | $87.35 | $87.35 |