| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.52 | $146.52 | $146.52 | |
Aetna
| Professional | $87.59 | $110.84 | $183.23 | |
Anthem BCBS
| Professional | $103.82 | $138.35 | $201.98 | |
Cigna
| Professional | $118.84 | $156.11 | $268.75 | |
ConnectiCare
| Professional | $132.66 | $171.82 | $234.64 | |
Health New England
| Professional | $153.66 | $157.56 | $460.99 | |
United
| Professional | $106.51 | $147.65 | $223.04 |