| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.68 | $167.09 | $210.69 | |
Aetna
| Professional | $149.61 | $164.32 | $174.34 | |
Anthem BCBS
| Facility | $266.43 | $343.78 | $393.32 | |
Anthem BCBS
| Professional | $191.64 | $191.64 | $200.79 | |
Cigna
| Facility | $212.98 | $212.98 | $212.98 | |
Cigna
| Professional | $155.47 | $212.98 | $296.93 | |
ConnectiCare
| Facility | $223.46 | $223.46 | $223.46 | |
ConnectiCare
| Professional | $223.46 | $223.46 | $316.27 | |
Health New England
| Professional | $261.75 | $261.75 | $261.75 | |
United
| Professional | $130.88 | $171.50 | $285.83 |