| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.23 | $198.23 | $198.23 | |
Aetna
| Professional | $144.19 | $177.49 | $198.23 | |
Anthem BCBS
| Facility | $203.27 | $262.27 | $300.07 | |
Anthem BCBS
| Professional | $236.66 | $239.42 | $239.42 | |
Cigna
| Facility | $278.10 | $278.10 | $278.10 | |
Cigna
| Professional | $203.01 | $203.01 | $278.10 | |
ConnectiCare
| Facility | $170.48 | $170.48 | $170.48 | |
ConnectiCare
| Professional | $149.58 | $170.48 | $222.94 | |
Health New England
| Professional | $191.68 | $191.68 | $191.68 | |
United
| Professional | $146.09 | $203.47 | $291.42 |