| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,327.90 | $1,327.90 | $1,536.57 | |
Anthem BCBS
| Professional | $1,549.20 | $3,532.75 | $3,532.75 | |
Harvard Pilgrim
| Professional | $5,435.00 | $5,435.00 | $5,435.00 | |
United
| Professional | $758.80 | $1,138.20 | $3,261.00 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |