| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $5,370.32 | $22,387.21 | |
Anthem BCBS
| Facility | $5,011.87 | $5,623.41 | $8,912.51 | |
Harvard Pilgrim
| Facility | $9,549.93 | $9,549.93 | $9,549.93 | |
United
| Facility | $9,549.93 | $9,549.93 | $9,549.93 |