| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $295.12 | $9,772.37 | |
Harvard Pilgrim
| Facility | $75.86 | $3,388.44 | $7,413.10 | |
United
| Facility | $75.86 | $3,388.44 | $7,413.10 | |
Well Sense
| Facility | $60.26 | $83.18 | $102.33 |