| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $2,754.23 | $9,772.37 | |
Anthem BCBS
| Facility | $1,288.25 | $1,412.54 | $2,630.27 | |
Harvard Pilgrim
| Facility | $8,709.64 | $8,709.64 | $8,709.64 | |
United
| Facility | $8,709.64 | $8,709.64 | $8,709.64 | |
Well Sense
| Facility | $537.03 | $537.03 | $870.96 |