| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $457.09 | $537.03 | |
Aetna
| Professional | $446.68 | $446.68 | $446.68 | |
Cigna
| Professional | $371.54 | $371.54 | $371.54 | |
Harvard Pilgrim
| Professional | $489.78 | $812.83 | $1,445.44 | |
United
| Professional | $537.03 | $776.25 | $1,584.89 |