| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $2,398.83 | $9,772.37 | |
Anthem BCBS
| Facility | $1,584.89 | $1,737.80 | $3,019.95 | |
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 | $478.63 | $478.63 | $776.25 |