| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $194.76 | $261.80 | $4,923.67 | |
Anthem BCBS
| Professional | $25.00 | $25.00 | $25.00 | |
ConnectiCare
| Professional | $64,999.35 | $64,999.35 | $64,999.35 | |
United
| Professional | $50.00 | $50.00 | $50.00 |