| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.50 | $172.50 | $172.50 | |
Aetna
| Professional | $143.10 | $200.77 | $379.76 | |
Anthem BCBS
| Professional | $200.00 | $280.10 | $280.10 | |
Cigna
| Professional | $66.81 | $66.81 | $66.81 | |
ConnectiCare
| Professional | $64,999.35 | $64,999.35 | $64,999.35 | |
Health New England
| Facility | $25.42 | $25.42 | $25.42 | |
United
| Professional | $17.66 | $23.17 | $32.09 |