| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.99 | $35.99 | $35.99 | |
Aetna
| Professional | $24.51 | $35.51 | $38.35 | |
Anthem BCBS
| Facility | $41.91 | $54.08 | $61.87 | |
Anthem BCBS
| Professional | $30.75 | $30.75 | $30.75 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $25.99 | $25.99 | $35.60 | |
ConnectiCare
| Facility | $35.15 | $35.15 | $35.15 | |
ConnectiCare
| Professional | $35.15 | $35.15 | $49.75 | |
Health New England
| Facility | $71.23 | $71.23 | $106.86 | |
Health New England
| Professional | $43.36 | $43.36 | $43.36 | |
United
| Professional | $20.59 | $26.98 | $47.32 |