| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $4,466.84 | $20,892.96 | |
Anthem BCBS
| Facility | $9,332.54 | $10,471.29 | $19,952.62 | |
Harvard Pilgrim
| Facility | $12,589.25 | $12,589.25 | $12,589.25 | |
United
| Facility | $12,589.25 | $12,589.25 | $12,589.25 |