| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $2,398.83 | $9,772.37 | |
Anthem BCBS
| Facility | $9,332.54 | $10,471.29 | $19,952.62 | |
Harvard Pilgrim
| Facility | $10,000.00 | $10,000.00 | $10,000.00 | |
United
| Facility | $10,000.00 | $10,000.00 | $10,000.00 |