| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2,700.00 | $4,050.00 | $17,392.95 | |
Anthem BCBS
| Facility | $5,055.95 | $14,555.52 | $29,978.69 | |
Harvard Pilgrim
| Facility | $13,340.92 | $20,193.54 | $29,666.64 | |
United
| Facility | $16,445.91 | $16,445.91 | $28,620.43 |