| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.85 | $512.85 | $512.85 | |
Aetna
| Professional | $459.19 | $512.85 | $580.03 | |
Anthem BCBS
| Facility | $817.75 | $1,055.16 | $1,207.21 | |
Anthem BCBS
| Professional | $445.00 | $445.00 | $616.29 | |
Cigna
| Facility | $702.03 | $702.03 | $702.03 | |
Cigna
| Professional | $512.48 | $512.48 | $702.03 | |
ConnectiCare
| Facility | $685.85 | $685.85 | $685.85 | |
ConnectiCare
| Professional | $685.85 | $685.85 | $970.75 | |
Health New England
| Professional | $612.17 | $612.17 | $612.17 | |
United
| Professional | $403.82 | $526.41 | $877.36 |