| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $568.50 | $568.50 | $568.50 | |
Aetna
| Professional | $568.50 | $715.13 | $733.98 | |
Anthem BCBS
| Professional | $560.05 | $560.05 | $708.90 | |
Cigna
| Facility | $545.00 | $545.00 | $545.00 | |
Cigna
| Professional | $463.25 | $545.00 | $635.41 | |
Health New England
| Professional | $812.60 | $812.60 | $812.60 | |
United
| Professional | $328.18 | $529.49 | $754.33 |