| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $8,511.38 | $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 | $1,778.28 | $2,454.71 | $3,019.95 |