| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $2,398.83 | $9,772.37 | |
Anthem BCBS
| Professional | $147.91 | $245.47 | $338.84 | |
Harvard Pilgrim
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
United
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
Well Sense
| Facility | $2,511.89 | $2,511.89 | $2,511.89 |