| 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 | $10,964.78 | $12,022.64 | $22,908.68 | |
Harvard Pilgrim
| Facility | $11,220.18 | $11,220.18 | $11,220.18 | |
United
| Facility | $11,220.18 | $11,220.18 | $11,220.18 |