| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.57 | $111.42 | $192.90 | |
Aetna
| Professional | $69.27 | $90.46 | $133.96 | |
Anthem BCBS
| Facility | $125.00 | $178.00 | $243.00 | |
Anthem BCBS
| Professional | $75.50 | $119.63 | $239.03 | |
Cigna
| Professional | $76.00 | $102.00 | $153.53 | |
ConnectiCare
| Professional | $113.84 | $140.47 | $198.92 | |
Health New England
| Professional | $616.08 | $646.89 | $3,134.80 | |
United
| Professional | $89.66 | $120.10 | $240.00 |