| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,238.72 | $4,466.84 | $20,892.96 | |
Anthem BCBS
| Facility | $29,512.09 | $33,113.11 | $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 | $1,412.54 | $1,412.54 | $2,238.72 |