| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,905.46 | $4,466.84 | $20,892.96 | |
Anthem BCBS
| Facility | $10,964.78 | $13,489.63 | $28,183.83 | |
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 | $1,202.26 | $1,202.26 | $1,905.46 |