| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.01 | $22.01 | $22.01 | |
Aetna
| Professional | $16.94 | $20.70 | $22.01 | |
Anthem BCBS
| Professional | $67.64 | $67.64 | $67.64 | |
Cigna
| Facility | $54.94 | $54.94 | $54.94 | |
Cigna
| Professional | $40.11 | $40.11 | $54.94 | |
Health New England
| Professional | $54.32 | $54.32 | $54.32 | |
United
| Professional | $15.67 | $21.69 | $34.01 |