| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.50 | $172.50 | $172.50 | |
Aetna
| Professional | $115.84 | $167.31 | $198.47 | |
Anthem BCBS
| Professional | $164.86 | $164.86 | $200.00 | |
Cigna
| Facility | $147.10 | $147.10 | $147.10 | |
Cigna
| Professional | $107.38 | $125.04 | $125.04 | |
ConnectiCare
| Professional | $64,999.35 | $64,999.35 | $64,999.35 | |
Health New England
| Facility | $20.30 | $20.30 | $20.30 | |
United
| Professional | $9.72 | $12.10 | $34.46 |