| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $5,370.32 | $9,772.37 | |
Anthem BCBS
| Facility | $10,000.00 | $18,197.01 | $28,183.83 | |
Harvard Pilgrim
| Facility | $977.24 | $4,570.88 | $11,220.18 | |
United
| Facility | $977.24 | $4,570.88 | $11,220.18 | |
Well Sense
| Facility | $1,122.02 | $1,548.82 | $1,905.46 |