| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $5,370.32 | $11,481.54 | |
Anthem BCBS
| Facility | $3,890.45 | $8,511.38 | $13,182.57 | |
Harvard Pilgrim
| Facility | $446.68 | $3,388.44 | $7,413.10 | |
United
| Facility | $446.68 | $3,388.44 | $7,413.10 | |
Well Sense
| Facility | $1,122.02 | $1,513.56 | $1,862.09 |