| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $2,754.23 | $11,481.54 | |
Anthem BCBS
| Facility | $3,467.37 | $4,677.35 | $6,309.57 | |
Anthem BCBS
| Professional | $436.52 | $954.99 | $1,318.26 | |
Harvard Pilgrim
| Facility | $12,589.25 | $12,589.25 | $12,589.25 | |
United
| Facility | $12,589.25 | $12,589.25 | $12,589.25 |