| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $1,819.70 | $9,772.37 | |
Anthem BCBS
| Facility | $3,467.37 | $4,677.35 | $6,309.57 | |
Harvard Pilgrim
| Facility | $8,709.64 | $8,709.64 | $8,709.64 | |
United
| Facility | $8,709.64 | $8,709.64 | $8,709.64 |