| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $6,025.60 | $20,892.96 | |
Anthem BCBS
| Facility | $28,840.32 | $70,794.58 | $87,096.36 | |
Harvard Pilgrim
| Facility | $12,589.25 | $12,589.25 | $12,589.25 | |
United
| Facility | $12,589.25 | $12,589.25 | $12,589.25 | |
Well Sense
| Facility | $1,318.26 | $1,318.26 | $2,137.96 |