| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $396.80 | $396.80 | $396.80 | |
Aetna
| Professional | $238.95 | $345.28 | $396.80 | |
Anthem BCBS
| Professional | $300.39 | $300.39 | $397.60 | |
Cigna
| Facility | $318.39 | $318.39 | $318.39 | |
Cigna
| Professional | $270.64 | $270.64 | $318.39 | |
ConnectiCare
| Professional | $64,999.35 | $64,999.35 | $64,999.35 | |
Health New England
| Facility | $28.00 | $28.00 | $28.00 | |
United
| Professional | $19.16 | $24.67 | $41.12 |