| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.90 | $158.90 | $225.55 | |
Aetna
| Professional | $69.19 | $104.75 | $213.85 | |
Anthem BCBS
| Professional | $94.70 | $151.69 | $229.06 | |
Cigna
| Facility | $577.99 | $577.99 | $577.99 | |
Cigna
| Professional | $92.35 | $142.58 | $228.11 | |
ConnectiCare
| Professional | $51.00 | $128.22 | $230.87 | |
Health New England
| Professional | $179.62 | $215.97 | $362.37 | |
United
| Professional | $105.97 | $161.22 | $244.39 |