| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $234.42 | $309.03 | |
Aetna
| Professional | $107.15 | $162.18 | $363.08 | |
Anthem BCBS
| Professional | $114.82 | $186.21 | $295.12 | |
Cigna
| Facility | $794.33 | $794.33 | $794.33 | |
Cigna
| Professional | $123.03 | $190.55 | $316.23 | |
ConnectiCare
| Professional | $85.11 | $204.17 | $338.84 | |
Health New England
| Professional | $93.33 | $269.15 | $288.40 | |
United
| Professional | $112.20 | $162.18 | $288.40 |