| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $6,309.57 | $9,772.37 | |
Anthem BCBS
| Facility | $10,000.00 | $18,197.01 | $28,183.83 | |
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 | $1,348.96 | $1,862.09 | $2,290.87 |