| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,398.83 | $9,772.37 | |
Anthem BCBS
| Facility | $9,772.37 | $18,197.01 | $27,542.29 | |
Anthem BCBS
| Professional | $1,071.52 | $2,238.72 | $3,090.30 | |
Harvard Pilgrim
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
United
| Facility | $7,413.10 | $7,413.10 | $7,413.10 |