| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $8,511.38 | $11,481.54 | |
Anthem BCBS
| Facility | $3,890.45 | $11,748.98 | $18,620.87 | |
Harvard Pilgrim
| Facility | $9,549.93 | $9,549.93 | $9,549.93 | |
United
| Facility | $9,549.93 | $9,549.93 | $9,549.93 | |
Well Sense
| Facility | $2,344.23 | $2,344.23 | $2,884.03 |