| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.45 | $256.05 | $1,327.80 | |
Aetna
| Professional | $109.67 | $121.71 | $757.04 | |
Anthem BCBS
| Professional | $77.26 | $100.63 | $124.94 | |
Cigna
| Professional | $119.90 | $119.90 | $119.90 | |
Health New England
| Facility | $41.12 | $103.00 | $581.04 |