| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.30 | $86.30 | $86.30 | |
Aetna
| Professional | $70.05 | $86.30 | $90.65 | |
Anthem BCBS
| Facility | $137.62 | $177.58 | $203.17 | |
Anthem BCBS
| Professional | $94.06 | $94.06 | $96.32 | |
Cigna
| Facility | $117.36 | $117.36 | $126.78 | |
Cigna
| Professional | $85.67 | $85.67 | $117.36 | |
ConnectiCare
| Facility | $115.43 | $115.43 | $115.43 | |
ConnectiCare
| Professional | $108.56 | $115.43 | $153.66 | |
Health New England
| Professional | $103.47 | $103.47 | $103.47 | |
United
| Professional | $67.61 | $88.59 | $165.65 |