| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.89 | $126.89 | $126.89 | |
Aetna
| Professional | $74.13 | $99.80 | $126.89 | |
Anthem BCBS
| Facility | $109.50 | $141.29 | $161.65 | |
Anthem BCBS
| Professional | $119.07 | $119.07 | $124.95 | |
Cigna
| Facility | $133.72 | $133.72 | $133.72 | |
Cigna
| Professional | $97.62 | $97.62 | $133.72 | |
ConnectiCare
| Facility | $91.84 | $91.84 | $91.84 | |
ConnectiCare
| Professional | $80.58 | $91.84 | $120.10 | |
Health New England
| Professional | $115.20 | $115.20 | $115.20 | |
United
| Professional | $73.56 | $123.95 | $166.94 |