| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $6,606.93 | $9,772.37 | |
Anthem BCBS
| Facility | $10,000.00 | $21,877.62 | $34,673.69 | |
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 | $1,412.54 | $1,412.54 | $2,290.87 |