| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $8,992.79 | $9,992.00 | $19,050.00 | |
Anthem BCBS
| Professional | $11.55 | $11.55 | $11.55 | |
Harvard Pilgrim
| Professional | $7,829.51 | $29,894.61 | $46,394.84 | |
United
| Facility | $9,565.00 | $9,565.00 | $9,565.00 |