| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $34.67 | $34.67 | |
Aetna
| Professional | $23.99 | $33.88 | $45.71 | |
Anthem BCBS
| Facility | $42.66 | $54.95 | $66.07 | |
Anthem BCBS
| Professional | $30.90 | $30.90 | $37.15 | |
Cigna
| Facility | $35.48 | $35.48 | $35.48 | |
Cigna
| Professional | $25.70 | $25.70 | $25.70 | |
ConnectiCare
| Facility | $35.48 | $35.48 | $35.48 | |
ConnectiCare
| Professional | $35.48 | $38.90 | $60.26 | |
Health New England
| Facility | $35.48 | $35.48 | $35.48 | |
Health New England
| Professional | $43.65 | $43.65 | $43.65 | |
United
| Facility | $32.36 | $32.36 | $36.31 | |
United
| Professional | $20.42 | $26.92 | $42.66 |