| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $1,380.38 | $6,025.60 | |
Anthem BCBS
| Facility | $1,584.89 | $1,737.80 | $3,019.95 | |
Harvard Pilgrim
| Facility | $7,943.28 | $7,943.28 | $7,943.28 | |
United
| Facility | $7,943.28 | $7,943.28 | $7,943.28 |