| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.34 | $178.64 | $245.97 | |
Aetna
| Professional | $77.22 | $126.14 | $290.93 | |
Anthem BCBS
| Professional | $103.86 | $168.26 | $252.32 | |
Cigna
| Facility | $626.75 | $626.75 | $626.75 | |
Cigna
| Professional | $104.30 | $154.53 | $248.48 | |
ConnectiCare
| Professional | $58.00 | $142.66 | $254.87 | |
Health New England
| Professional | $135.00 | $207.94 | $277.07 | |
United
| Professional | $115.77 | $176.13 | $267.55 |