| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.61 | $72.44 | $162.18 | |
Anthem BCBS
| Professional | $3.80 | $5.01 | $46.77 | |
Cigna
| Facility | $30.90 | $30.90 | $30.90 | |
Cigna
| Professional | $26.30 | $26.30 | $30.90 | |
ConnectiCare
| Professional | $446.68 | $446.68 | $446.68 |