| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.62 | $90.62 | $90.62 | |
Aetna
| Professional | $81.14 | $90.62 | $102.50 | |
Anthem BCBS
| Facility | $144.47 | $186.43 | $213.29 | |
Anthem BCBS
| Professional | $103.75 | $103.75 | $108.90 | |
Cigna
| Facility | $106.63 | $106.63 | $121.71 | |
Cigna
| Professional | $77.84 | $77.84 | $106.63 | |
ConnectiCare
| Facility | $121.18 | $121.18 | $121.18 | |
ConnectiCare
| Professional | $121.18 | $121.18 | $171.52 | |
Health New England
| Professional | $108.18 | $108.18 | $282.92 | |
United
| Professional | $70.98 | $93.01 | $155.02 |