| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $4,466.84 | $20,892.96 | |
Anthem BCBS
| Facility | $9,332.54 | $10,471.29 | $19,952.62 | |
Harvard Pilgrim
| Facility | $1,122.02 | $4,677.35 | $12,302.69 | |
United
| Facility | $1,122.02 | $4,677.35 | $12,302.69 | |
Well Sense
| Facility | $870.96 | $1,230.27 | $1,445.44 |