| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $454.95 | $540.00 | |
Aetna
| Professional | $450.00 | $450.01 | $450.01 | |
Cigna
| Professional | $371.73 | $371.73 | $371.73 | |
Harvard Pilgrim
| Professional | $533.11 | $760.10 | $1,494.20 | |
United
| Professional | $627.74 | $772.61 | $1,581.72 | |
Well Sense
| Professional | $450.00 | $495.00 | $630.00 |