| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $3,630.78 | $14,791.08 | |
Anthem BCBS
| Facility | $3,890.45 | $10,964.78 | $16,982.44 | |
Harvard Pilgrim
| Facility | $977.24 | $4,570.88 | $11,220.18 | |
United
| Facility | $977.24 | $4,570.88 | $11,220.18 | |
Well Sense
| Facility | $794.33 | $912.01 | $1,318.26 |