| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.88 | $52.88 | $60.72 | |
Aetna
| Professional | $33.29 | $53.53 | $60.72 | |
Cigna
| Professional | $49.10 | $49.10 | $49.10 | |
Harvard Pilgrim
| Professional | $61.10 | $100.51 | $188.59 | |
United
| Professional | $60.13 | $87.86 | $145.43 |