| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.55 | $28.55 | $28.55 | |
Aetna
| Professional | $19.30 | $28.55 | $31.46 | |
Anthem BCBS
| Professional | $17.22 | $17.22 | $17.22 | |
Cigna
| Facility | $22.51 | $26.66 | $26.66 | |
Cigna
| Professional | $22.66 | $22.66 | $26.66 | |
ConnectiCare
| Facility | $28.83 | $28.83 | $28.83 | |
ConnectiCare
| Professional | $28.83 | $28.83 | $40.81 | |
Health New England
| Professional | $6.65 | $6.65 | $6.65 | |
United
| Professional | $16.89 | $22.13 | $36.89 |