| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $4,365.16 | $15,848.93 | |
Anthem BCBS
| Facility | $30,199.52 | $37,153.52 | $50,118.72 | |
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 | $891.25 | $891.25 | $1,445.44 |