| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $2,754.23 | $11,481.54 | |
Anthem BCBS
| Facility | $1,584.89 | $1,737.80 | $3,019.95 | |
Harvard Pilgrim
| Facility | $8,709.64 | $8,709.64 | $8,709.64 | |
United
| Facility | $8,709.64 | $8,709.64 | $8,709.64 |