| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.00 | $5.00 | $5.00 | |
Aetna
| Professional | $2.98 | $23.15 | $37.63 | |
Anthem BCBS
| Professional | $16.50 | $18.70 | $24.20 | |
Cigna
| Professional | $50.59 | $50.59 | $50.59 | |
ConnectiCare
| Facility | $80.00 | $89.00 | $171.00 |