| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.58 | $63.58 | $63.58 | |
Aetna
| Professional | $48.93 | $59.80 | $63.58 | |
Anthem BCBS
| Professional | $82.15 | $82.15 | $82.15 | |
Cigna
| Facility | $69.84 | $69.84 | $69.84 | |
Cigna
| Professional | $50.99 | $50.99 | $69.84 | |
Health New England
| Facility | $80.00 | $80.00 | $80.00 | |
United
| Professional | $45.17 | $62.66 | $98.23 |