| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $546.10 | $546.10 | $546.10 | |
Aetna
| Professional | $424.75 | $546.10 | $580.01 | |
Anthem BCBS
| Professional | $444.12 | $444.12 | $473.20 | |
Cigna
| Facility | $150.00 | $150.00 | $150.00 | |
Cigna
| Professional | $127.50 | $150.00 | $150.00 | |
Health New England
| Professional | $292.70 | $292.70 | $292.70 | |
United
| Professional | $189.70 | $306.08 | $436.04 |