| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $4,846.00 | $4,846.00 | $4,846.00 | |
Anthem BCBS
| Facility | $5,055.95 | $10,253.02 | $19,440.64 | |
Harvard Pilgrim
| Facility | $8,651.95 | $13,602.59 | $19,983.78 | |
United
| Facility | $11,078.16 | $11,078.16 | $19,279.04 |