| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $873.37 | $1,441.59 | $2,697.20 | |
Aetna
| Professional | $115.00 | $1,441.59 | $1,441.59 | |
Anthem BCBS
| Professional | $2.85 | $3.42 | $4.19 | |
Cigna
| Professional | $489.34 | $489.34 | $489.34 | |
Health New England
| Facility | $1,549.60 | $1,549.60 | $1,549.60 |