| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $302.00 | $9,772.37 | |
Anthem BCBS
| Facility | $512.86 | $870.96 | $1,479.11 | |
Harvard Pilgrim
| Facility | $8,709.64 | $8,709.64 | $8,709.64 | |
United
| Facility | $8,709.64 | $8,709.64 | $8,709.64 | |
Well Sense
| Facility | $81.28 | $81.28 | $100.00 |