| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $416.87 | $416.87 | |
Aetna
| Professional | $229.09 | $295.12 | $416.87 | |
Anthem BCBS
| Professional | $302.00 | $302.00 | $346.74 | |
Cigna
| Professional | $43.65 | $43.65 | $43.65 | |
Health New England
| Professional | $316.23 | $316.23 | $316.23 | |
United
| Facility | $31.62 | $42.66 | $316.23 | |
United
| Professional | $23.99 | $190.55 | $316.23 |