| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $854.03 | $854.03 | $854.03 | |
Aetna
| Professional | $872.00 | $872.00 | $872.00 | |
Cigna
| Facility | $88.12 | $110.41 | $145.40 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Harvard Pilgrim
| Professional | $128.76 | $162.15 | $202.10 |