| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.90 | $163.90 | $163.90 | |
Aetna
| Professional | $146.75 | $161.19 | $164.97 | |
Anthem BCBS
| Facility | $261.35 | $337.23 | $385.82 | |
Anthem BCBS
| Professional | $186.58 | $186.58 | $197.01 | |
Cigna
| Facility | $192.91 | $192.91 | $192.91 | |
Cigna
| Professional | $140.82 | $140.82 | $192.91 | |
ConnectiCare
| Facility | $219.20 | $219.20 | $219.20 | |
ConnectiCare
| Professional | $219.20 | $219.20 | $310.25 | |
Health New England
| Professional | $195.65 | $195.65 | $195.65 | |
United
| Professional | $128.38 | $168.24 | $280.39 |