| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $648.04 | $648.04 | $648.04 | |
Aetna
| Professional | $575.28 | $648.04 | $673.70 | |
Anthem BCBS
| Professional | $810.05 | $810.05 | $810.05 | |
ConnectiCare
| Professional | $950.00 | $950.00 | $950.00 | |
United
| Professional | $50.00 | $50.00 | $50.00 |