| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $2,398.83 | $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 | $309.03 | $416.87 | $512.86 |