| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $4,677.35 | $14,791.08 | |
Anthem BCBS
| Facility | $9,332.54 | $10,471.29 | $19,952.62 | |
Harvard Pilgrim
| Facility | $9,549.93 | $9,549.93 | $9,549.93 | |
United
| Facility | $9,549.93 | $9,549.93 | $9,549.93 |