| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $2,884.03 | $9,772.37 | |
Anthem BCBS
| Facility | $3,467.37 | $4,677.35 | $6,309.57 | |
Harvard Pilgrim
| Facility | $933.25 | $3,890.45 | $8,709.64 | |
United
| Facility | $933.25 | $3,890.45 | $8,709.64 | |
Well Sense
| Facility | $616.60 | $851.14 | $1,047.13 |