| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.13 | $168.13 | $168.13 | |
Aetna
| Professional | $101.69 | $135.63 | $375.38 | |
Anthem BCBS
| Professional | $117.62 | $165.50 | $255.24 | |
Cigna
| Professional | $137.43 | $185.19 | $327.58 | |
ConnectiCare
| Professional | $158.19 | $213.33 | $627.64 | |
Health New England
| Professional | $212.23 | $212.23 | $212.23 | |
United
| Professional | $126.03 | $185.41 | $273.02 |