| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.49 | $223.87 | $660.69 | |
Anthem BCBS
| Facility | $144.54 | $6,918.31 | $12,302.69 | |
Cigna
| Facility | $177.83 | $190.55 | $204.17 | |
Health New England
| Facility | $691.83 | $691.83 | $691.83 | |
United
| Facility | $1,288.25 | $4,073.80 | $12,589.25 |