| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.15 | $161.15 | $161.15 | |
Aetna
| Professional | $124.01 | $151.57 | $161.15 | |
Anthem BCBS
| Professional | $183.74 | $183.74 | $183.74 | |
Cigna
| Facility | $210.68 | $210.68 | $210.68 | |
Cigna
| Professional | $153.80 | $153.80 | $210.68 | |
Health New England
| Professional | $139.85 | $139.85 | $139.85 | |
United
| Professional | $108.90 | $158.83 | $248.99 |