| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $5,128.61 | $20,892.96 | |
Anthem BCBS
| Facility | $27,542.29 | $30,902.95 | $36,307.81 | |
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 | $1,122.02 | $1,122.02 | $1,819.70 |