| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.38 | $149.38 | $149.38 | |
Aetna
| Professional | $92.70 | $123.38 | $432.39 | |
Anthem BCBS
| Professional | $106.88 | $150.40 | $234.62 | |
Cigna
| Professional | $123.67 | $162.34 | $301.12 | |
ConnectiCare
| Professional | $137.50 | $186.62 | $315.58 | |
Health New England
| Professional | $188.12 | $192.89 | $363.31 | |
United
| Professional | $114.34 | $172.15 | $248.78 |