| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $385.01 | $385.01 | $385.01 | |
Aetna
| Professional | $344.72 | $357.24 | $385.82 | |
Anthem BCBS
| Facility | $613.91 | $792.16 | $906.31 | |
Anthem BCBS
| Professional | $440.91 | $440.91 | $462.68 | |
Cigna
| Facility | $525.23 | $525.23 | $525.23 | |
Cigna
| Professional | $383.42 | $383.42 | $525.23 | |
ConnectiCare
| Facility | $514.90 | $514.90 | $514.90 | |
ConnectiCare
| Professional | $514.90 | $514.90 | $728.79 | |
Health New England
| Professional | $511.10 | $511.10 | $511.10 | |
United
| Professional | $301.60 | $395.20 | $557.40 |