| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $2,398.83 | $13,803.84 | |
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 | $467.74 | $645.65 | $794.33 |