| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $870.96 | $1,071.52 | |
Cigna
| Facility | $602.56 | $870.96 | $1,148.15 | |
Fallon Health
| Facility | $60.26 | $3,630.78 | $9,772.37 | |
United
| Facility | $407.38 | $776.25 | $1,288.25 |