| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,398.83 | $9,772.37 | |
Anthem BCBS
| Facility | $8,912.51 | $10,000.00 | $18,197.01 | |
Harvard Pilgrim
| Facility | $446.68 | $3,388.44 | $7,413.10 | |
United
| Facility | $446.68 | $3,388.44 | $7,413.10 | |
Well Sense
| Facility | $891.25 | $1,230.27 | $1,513.56 |