| 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 | $3,467.37 | $4,677.35 | $6,309.57 | |
Harvard Pilgrim
| Facility | $10,000.00 | $10,000.00 | $10,000.00 | |
United
| Facility | $10,000.00 | $10,000.00 | $10,000.00 |