| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $7,762.47 | $9,772.37 | |
Anthem BCBS
| Facility | $5,623.41 | $18,197.01 | $28,840.32 | |
Harvard Pilgrim
| Facility | $446.68 | $3,388.44 | $7,413.10 | |
United
| Facility | $446.68 | $3,388.44 | $7,413.10 | |
Well Sense
| Facility | $1,659.59 | $2,290.87 | $2,818.38 |