| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $870.96 | $1,047.13 | |
Aetna
| Professional | $52.48 | $223.87 | $870.96 | |
Cigna
| Professional | $346.74 | $346.74 | $346.74 | |
Harvard Pilgrim
| Professional | $354.81 | $354.81 | $537.03 | |
United
| Professional | $338.84 | $354.81 | $794.33 |