| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $457.09 | $457.09 | |
Aetna
| Professional | $363.08 | $457.09 | $794.33 | |
Anthem BCBS
| Facility | $741.31 | $954.99 | $1,174.90 | |
Anthem BCBS
| Professional | $512.86 | $512.86 | $616.60 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Cigna
| Professional | $363.08 | $363.08 | $363.08 | |
ConnectiCare
| Facility | $616.60 | $616.60 | $616.60 | |
ConnectiCare
| Professional | $537.03 | $676.08 | $891.25 | |
Health New England
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Facility | $331.13 | $331.13 | $524.81 | |
United
| Professional | $363.08 | $467.74 | $630.96 |