| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.28 | $88.28 | $88.28 | |
Aetna
| Professional | $67.93 | $83.03 | $88.28 | |
Anthem BCBS
| Professional | $157.91 | $157.91 | $157.91 | |
Cigna
| Facility | $56.50 | $56.50 | $56.50 | |
Cigna
| Professional | $41.25 | $41.25 | $56.50 | |
Health New England
| Professional | $241.34 | $241.34 | $241.34 | |
United
| Professional | $59.63 | $87.01 | $136.40 |