| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $260.13 | $260.13 | $260.13 | |
Aetna
| Professional | $232.91 | $260.13 | $294.22 | |
Anthem BCBS
| Facility | $414.78 | $535.20 | $612.32 | |
Anthem BCBS
| Professional | $295.10 | $295.10 | $312.60 | |
Cigna
| Facility | $321.89 | $336.03 | $336.03 | |
Cigna
| Professional | $245.30 | $245.30 | $245.30 | |
ConnectiCare
| Facility | $347.88 | $347.88 | $347.88 | |
ConnectiCare
| Professional | $347.88 | $347.88 | $492.38 | |
Health New England
| Professional | $304.60 | $304.60 | $895.00 | |
United
| Professional | $204.84 | $267.01 | $433.34 |