| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,479.11 | $2,884.03 | $9,772.37 | |
Anthem BCBS
| Facility | $1,698.24 | $5,011.87 | $7,943.28 | |
Harvard Pilgrim
| Facility | $691.83 | $4,265.80 | $9,549.93 | |
United
| Facility | $691.83 | $4,265.80 | $9,549.93 | |
Well Sense
| Facility | $630.96 | $891.25 | $1,047.13 |