| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $2,511.89 | $20,892.96 | |
Anthem BCBS
| Facility | $1,584.89 | $1,737.80 | $3,019.95 | |
Harvard Pilgrim
| Facility | $12,302.69 | $12,302.69 | $12,302.69 | |
United
| Facility | $12,302.69 | $12,302.69 | $12,302.69 | |
Well Sense
| Facility | $549.54 | $549.54 | $891.25 |