| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.74 | $22.74 | $22.74 | |
Aetna
| Professional | $14.83 | $22.74 | $23.20 | |
Anthem BCBS
| Professional | $15.93 | $15.93 | $15.93 | |
Cigna
| Facility | $12.60 | $21.22 | $21.22 | |
Cigna
| Professional | $18.04 | $18.04 | $21.22 | |
ConnectiCare
| Facility | $22.96 | $22.96 | $22.96 | |
ConnectiCare
| Professional | $22.15 | $22.96 | $31.35 | |
Health New England
| Professional | $16.36 | $16.36 | $16.36 | |
United
| Professional | $13.45 | $17.62 | $26.90 |