| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $3,890.45 | $15,848.93 | |
Anthem BCBS
| Facility | $30,199.52 | $33,884.42 | $50,118.72 | |
Harvard Pilgrim
| Facility | $11,220.18 | $11,220.18 | $11,220.18 | |
United
| Facility | $11,220.18 | $11,220.18 | $11,220.18 | |
Well Sense
| Facility | $1,202.26 | $1,202.26 | $1,905.46 |