| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $568.50 | $568.50 | $568.50 | |
Aetna
| Professional | $568.50 | $687.01 | $710.84 | |
Anthem BCBS
| Professional | $560.19 | $560.19 | $706.90 | |
Cigna
| Professional | $577.92 | $577.92 | $577.92 | |
Health New England
| Professional | $394.69 | $394.69 | $394.69 | |
United
| Professional | $383.77 | $488.04 | $695.27 |