| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $2,754.23 | $11,481.54 | |
Anthem BCBS
| Facility | $8,912.51 | $10,000.00 | $18,197.01 | |
Harvard Pilgrim
| Facility | $12,302.69 | $12,302.69 | $12,302.69 | |
United
| Facility | $12,302.69 | $12,302.69 | $12,302.69 | |
Well Sense
| Facility | $537.03 | $537.03 | $851.14 |