| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $4,073.80 | $14,791.08 | |
Anthem BCBS
| Facility | $3,467.37 | $4,677.35 | $6,309.57 | |
Harvard Pilgrim
| Facility | $851.14 | $4,466.84 | $10,000.00 | |
United
| Facility | $851.14 | $4,466.84 | $10,000.00 | |
Well Sense
| Facility | $870.96 | $1,174.90 | $1,445.44 |