| 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 | $4,897.79 | $5,495.41 | $8,128.31 | |
Harvard Pilgrim
| Facility | $7,943.28 | $7,943.28 | $7,943.28 | |
United
| Facility | $7,943.28 | $7,943.28 | $7,943.28 |