| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $568.50 | $568.50 | $568.50 | |
Aetna
| Professional | $568.50 | $730.91 | $756.50 | |
Anthem BCBS
| Professional | $560.05 | $560.05 | $748.80 | |
Cigna
| Facility | $568.02 | $568.02 | $695.55 | |
Cigna
| Professional | $482.82 | $568.02 | $695.55 | |
Health New England
| Professional | $826.97 | $826.97 | $826.97 | |
United
| Professional | $352.97 | $569.50 | $811.32 |