| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.75 | $191.77 | $281.27 | |
Aetna
| Professional | $151.12 | $208.55 | $329.18 | |
Aetna
| Professional | 25 | $463.84 | $463.84 | $463.84 |
Anthem BCBS
| Professional | $189.07 | $321.77 | $518.53 | |
Cigna
| Professional | $251.77 | $321.27 | $442.39 | |
ConnectiCare
| Professional | $238.61 | $292.85 | $370.05 | |
Health New England
| Professional | $603.48 | $811.20 | $851.76 | |
United
| Professional | $226.46 | $341.63 | $493.77 |