| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $229.09 | $346.74 | |
Cigna
| Facility | $229.09 | $229.09 | $229.09 | |
Cigna
| Professional | $100.00 | $100.00 | $229.09 | |
Health New England
| Facility | $14.13 | $14.13 | $14.13 | |
United
| Professional | $50.12 | $50.12 | $50.12 |