| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $9,859.00 | |
Anthem BCBS
| Facility | $8,992.79 | $9,992.00 | $19,050.00 | |
Harvard Pilgrim
| Professional | $37,467.50 | $59,807.96 | $84,203.66 | |
United
| Facility | $12,629.00 | $12,629.00 | $12,629.00 | |
United
| Professional | $59,807.96 | $59,995.21 | $84,203.66 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |