| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $4,570.88 | $8,511.38 | |
Aetna
| Professional | $123.03 | $199.53 | $537.03 | |
Anthem BCBS
| Facility | $2,137.96 | $3,162.28 | $10,471.29 | |
Anthem BCBS
| Professional | $147.91 | $208.93 | $295.12 | |
Cigna
| Facility | $50.12 | $50.12 | $50.12 | |
Cigna
| Professional | $162.18 | $257.04 | $436.52 | |
ConnectiCare
| Professional | $257.04 | $269.15 | $269.15 | |
Health New England
| Professional | $275.42 | $275.42 | $275.42 | |
United
| Facility | $1,288.25 | $3,890.45 | $6,760.83 | |
United
| Professional | $131.83 | $204.17 | $346.74 |