| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.90 | $163.90 | $163.90 | |
Aetna
| Professional | $119.24 | $146.75 | $163.90 | |
Anthem BCBS
| Facility | $168.11 | $216.91 | $248.17 | |
Anthem BCBS
| Professional | $193.20 | $193.20 | $195.72 | |
Cigna
| Facility | $211.82 | $211.82 | $211.82 | |
Cigna
| Professional | $154.63 | $154.63 | $211.82 | |
ConnectiCare
| Facility | $140.99 | $140.99 | $140.99 | |
ConnectiCare
| Professional | $123.71 | $140.99 | $184.37 | |
Health New England
| Professional | $154.79 | $154.79 | $154.79 | |
United
| Professional | $120.82 | $168.24 | $241.00 |