| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.69 | $161.69 | $161.69 | |
Aetna
| Professional | $144.78 | $159.01 | $162.72 | |
Anthem BCBS
| Facility | $257.83 | $332.68 | $380.62 | |
Anthem BCBS
| Professional | $185.44 | $185.44 | $194.29 | |
Cigna
| Facility | $227.96 | $227.96 | $227.96 | |
Cigna
| Professional | $166.41 | $166.41 | $227.96 | |
ConnectiCare
| Facility | $216.24 | $216.24 | $216.24 | |
ConnectiCare
| Professional | $216.24 | $216.24 | $306.07 | |
Health New England
| Professional | $245.63 | $245.63 | $245.63 | |
United
| Professional | $126.66 | $165.97 | $320.38 |