| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.99 | $4,228.00 | $8,031.00 | |
Aetna
| Professional | $124.88 | $198.00 | $349.97 | |
Anthem BCBS
| Facility | $5,410.00 | $6,763.00 | $10,432.00 | |
Anthem BCBS
| Professional | $141.87 | $205.26 | $288.70 | |
Cigna
| Facility | $50.00 | $50.00 | $50.00 | |
Cigna
| Professional | $145.90 | $228.01 | $395.77 | |
ConnectiCare
| Professional | $216.78 | $255.03 | $266.42 | |
Health New England
| Professional | $275.97 | $275.97 | $275.97 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 | |
United
| Professional | $159.11 | $229.99 | $408.47 |