| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $85.11 | $107.15 | $275.42 | |
Anthem BCBS
| Facility | $162.18 | $208.93 | $251.19 | |
Anthem BCBS
| Professional | $109.65 | $114.82 | $154.88 | |
Cigna
| Facility | $33.11 | $112.20 | $112.20 | |
Cigna
| Professional | $83.18 | $83.18 | $83.18 | |
ConnectiCare
| Facility | $134.90 | $134.90 | $134.90 | |
ConnectiCare
| Professional | $131.83 | $147.91 | $204.17 | |
Health New England
| Facility | $120.23 | $120.23 | $120.23 | |
Health New England
| Professional | $120.23 | $120.23 | $120.23 | |
United
| Facility | $74.13 | $89.13 | $97.72 | |
United
| Professional | $75.86 | $102.33 | $141.25 |