| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.45 | $6.45 | $6.45 | |
Aetna
| Professional | $6.45 | $6.45 | $10.95 | |
Anthem BCBS
| Professional | $2.85 | $3.81 | $4.19 | |
Cigna
| Professional | $47.22 | $47.22 | $47.22 | |
ConnectiCare
| Professional | $38,249.62 | $38,249.62 | $38,249.62 | |
Health New England
| Facility | $440.94 | $440.94 | $440.94 |