| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.95 | $234.95 | $234.95 | |
Aetna
| Professional | $170.93 | $234.94 | $277.08 | |
Anthem BCBS
| Facility | $240.98 | $310.94 | $355.75 | |
Anthem BCBS
| Professional | $280.55 | $283.76 | $283.76 | |
Cigna
| Facility | $301.51 | $301.51 | $301.51 | |
Cigna
| Professional | $220.10 | $220.10 | $301.51 | |
ConnectiCare
| Facility | $202.11 | $202.11 | $202.11 | |
ConnectiCare
| Professional | $177.33 | $202.11 | $264.30 | |
Health New England
| Facility | $232.03 | $232.03 | $232.03 | |
Health New England
| Professional | $232.03 | $232.03 | $232.03 | |
United
| Professional | $166.03 | $241.17 | $345.46 |