| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.09 | $3,801.89 | $9,772.37 | |
Anthem BCBS
| Facility | $3,890.45 | $8,511.38 | $13,182.57 | |
Harvard Pilgrim
| Facility | $1,122.02 | $4,677.35 | $12,302.69 | |
United
| Facility | $1,122.02 | $4,677.35 | $12,302.69 | |
Well Sense
| Facility | $831.76 | $1,122.02 | $1,380.38 |