| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $7,585.78 | $20,892.96 | |
Anthem BCBS
| Facility | $28,840.32 | $77,624.71 | $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 | $1,548.82 | $1,548.82 | $2,511.89 |