| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $573.74 | $573.74 | $573.74 | |
Aetna
| Professional | $513.71 | $564.30 | $577.50 | |
Anthem BCBS
| Facility | $914.86 | $1,180.47 | $1,350.58 | |
Anthem BCBS
| Professional | $657.04 | $657.04 | $689.49 | |
Cigna
| Facility | $782.41 | $782.41 | $782.41 | |
Cigna
| Professional | $571.16 | $571.16 | $782.41 | |
ConnectiCare
| Facility | $767.31 | $767.31 | $767.31 | |
ConnectiCare
| Professional | $767.31 | $767.31 | $1,086.03 | |
Health New England
| Professional | $882.14 | $882.14 | $882.14 | |
United
| Professional | $449.44 | $588.91 | $1,059.59 |