| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $1,513.56 | $9,772.37 | |
Anthem BCBS
| Facility | $3,890.45 | $10,000.00 | $15,848.93 | |
Harvard Pilgrim
| Facility | $691.83 | $4,265.80 | $9,549.93 | |
United
| Facility | $691.83 | $4,265.80 | $9,549.93 | |
Well Sense
| Facility | $316.23 | $436.52 | $537.03 |