| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $11.48 | $36.31 | $42.66 |
Aetna
| Professional | $58.88 | $79.43 | $389.05 | |
Anthem BCBS
| Professional | $77.62 | $123.03 | $181.97 | |
Cigna
| Professional | $97.72 | $134.90 | $218.78 | |
ConnectiCare
| Professional | $83.18 | $112.20 | $120.23 | |
Health New England
| Professional | $12.30 | $12.30 | $12.30 | |
United
| Professional | $74.13 | $114.82 | $199.53 |