| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,000.00 | $3,000.00 | $3,000.00 | |
Aetna
| Professional | $3,000.00 | $3,000.00 | $3,000.00 | |
Cigna
| Facility | $130.91 | $168.93 | $240.60 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Harvard Pilgrim
| Professional | $143.29 | $177.29 | $216.51 |