| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $3,890.45 | $15,848.93 | |
Anthem BCBS
| Facility | $5,011.87 | $5,623.41 | $8,912.51 | |
Harvard Pilgrim
| Facility | $11,220.18 | $11,220.18 | $11,220.18 | |
United
| Facility | $11,220.18 | $11,220.18 | $11,220.18 |