| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $218.78 | $263.03 | |
Aetna
| Professional | $141.25 | $199.53 | $218.78 | |
Cigna
| Professional | $165.96 | $165.96 | $165.96 | |
Harvard Pilgrim
| Professional | $186.21 | $309.03 | $549.54 | |
United
| Professional | $269.15 | $323.59 | $562.34 |