| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $912.89 | $993.08 | $1,194.68 | |
Anthem BCBS
| Professional | $698.13 | $698.13 | $698.13 | |
Harvard Pilgrim
| Professional | $326.68 | $505.77 | $1,275.43 | |
United
| Professional | $644.63 | $1,126.19 | $1,649.30 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |