| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,759.28 | $1,759.28 | $2,035.73 | |
Anthem BCBS
| Professional | $203.55 | $1,633.61 | $1,633.61 | |
Harvard Pilgrim
| Professional | $2,513.25 | $2,513.25 | $2,513.25 | |
United
| Professional | $1,005.30 | $1,507.95 | $2,513.25 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |