| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15,488.17 | $15,488.17 | $15,488.17 | |
Cigna
| Professional | $10,000.00 | $10,000.00 | $10,000.00 | |
Harvard Pilgrim
| Professional | $107,151.93 | $107,151.93 | $107,151.93 | |
Martin's Point
| Professional | $15,488.17 | $15,488.17 | $15,488.17 | |
United
| Professional | $7,413.10 | $7,413.10 | $43,651.58 |