| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.32 | $23.32 | $23.32 | |
Aetna
| Professional | $11.26 | $18.72 | $23.80 | |
Anthem BCBS
| Facility | $28.09 | $36.24 | $41.46 | |
Anthem BCBS
| Professional | $24.17 | $24.17 | $24.49 | |
Cigna
| Facility | $24.26 | $24.26 | $24.26 | |
Cigna
| Professional | $17.71 | $17.71 | $24.26 | |
ConnectiCare
| Facility | $23.56 | $23.56 | $23.56 | |
ConnectiCare
| Professional | $23.56 | $25.37 | $33.34 | |
Health New England
| Facility | $71.61 | $71.61 | $87.18 | |
Health New England
| Professional | $29.06 | $29.06 | $29.06 | |
United
| Professional | $13.80 | $18.07 | $31.71 |