| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $3,548.13 | $15,848.93 | |
Anthem BCBS
| Facility | $5,623.41 | $15,135.61 | $23,988.33 | |
Harvard Pilgrim
| Facility | $9,549.93 | $9,549.93 | $9,549.93 | |
United
| Facility | $9,549.93 | $9,549.93 | $9,549.93 |