| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $425.00 | $425.00 | $510.00 | |
Aetna
| Professional | $370.50 | $425.00 | $425.00 | |
Cigna
| Facility | $725.00 | $2,149.39 | $2,981.53 | |
Harvard Pilgrim
| Professional | $787.04 | $1,455.08 | $1,930.41 |