| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $3,388.44 | $15,848.93 | |
Anthem BCBS
| Facility | $3,890.45 | $10,964.78 | $16,982.44 | |
Harvard Pilgrim
| Facility | $446.68 | $3,388.44 | $7,413.10 | |
United
| Facility | $446.68 | $3,388.44 | $7,413.10 | |
Well Sense
| Facility | $831.76 | $1,174.90 | $1,380.38 |