| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $295.12 | $457.09 | |
Cigna
| Facility | $173.78 | $263.03 | $354.81 | |
Fallon Health
| Facility | $60.26 | $3,630.78 | $9,772.37 | |
United
| Facility | $173.78 | $239.88 | $275.42 |