| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,398.83 | $9,772.37 | |
Anthem BCBS
| Facility | $5,623.41 | $19,952.62 | $30,902.95 | |
Harvard Pilgrim
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
United
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
Well Sense
| Facility | $891.25 | $891.25 | $1,096.48 |