| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.58 | $110.58 | $110.58 | |
Aetna
| Professional | $91.61 | $105.09 | $120.74 | |
Anthem BCBS
| Facility | $176.33 | $227.52 | $260.31 | |
Anthem BCBS
| Professional | $122.25 | $122.25 | $128.28 | |
Cigna
| Facility | $125.61 | $125.61 | $125.61 | |
Cigna
| Professional | $91.70 | $153.22 | $189.07 | |
ConnectiCare
| Facility | $147.88 | $147.88 | $147.88 | |
ConnectiCare
| Professional | $136.83 | $147.88 | $193.67 | |
Health New England
| Professional | $76.00 | $126.44 | $126.44 | |
United
| Professional | $86.62 | $113.51 | $189.18 |