| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,331.21 | $15,774.00 | |
Anthem BCBS
| Facility | $8,992.79 | $9,992.00 | $19,050.00 | |
Harvard Pilgrim
| Professional | $20,577.08 | $32,814.03 | $47,756.96 | |
United
| Facility | $12,629.00 | $12,629.00 | $12,629.00 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |