| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.89 | $263.89 | $263.89 | |
Aetna
| Professional | $232.68 | $237.40 | $263.89 | |
Anthem BCBS
| Facility | $420.79 | $542.96 | $621.20 | |
Anthem BCBS
| Professional | $276.35 | $276.35 | $290.69 | |
Cigna
| Facility | $297.02 | $297.02 | $297.02 | |
Cigna
| Professional | $216.82 | $216.82 | $297.02 | |
ConnectiCare
| Facility | $352.92 | $352.92 | $352.92 | |
ConnectiCare
| Professional | $352.92 | $354.60 | $501.90 | |
Health New England
| Professional | $296.70 | $296.70 | $296.70 | |
United
| Professional | $206.72 | $270.88 | $429.79 |