| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,398.83 | $11,481.54 | |
Aetna
| Facility | 50 | $1,096.48 | $1,096.48 | $2,511.89 |
Anthem BCBS
| Facility | $8,912.51 | $10,000.00 | $18,197.01 | |
Harvard Pilgrim
| Facility | $10,000.00 | $10,000.00 | $10,000.00 | |
United
| Facility | $10,000.00 | $10,000.00 | $10,000.00 |