| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $83.18 | $83.18 | |
Aetna
| Professional | $60.26 | $85.11 | $128.82 | |
Anthem BCBS
| Facility | $138.04 | $177.83 | $213.80 | |
Anthem BCBS
| Professional | $85.11 | $93.33 | $104.71 | |
Cigna
| Facility | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $74.13 | $74.13 | $74.13 | |
ConnectiCare
| Facility | $112.20 | $112.20 | $112.20 | |
ConnectiCare
| Professional | $95.50 | $125.89 | $162.18 | |
Health New England
| Professional | $91.20 | $91.20 | $91.20 | |
United
| Facility | $60.26 | $72.44 | $91.20 | |
United
| Professional | $61.66 | $87.10 | $117.49 |