| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,810.00 | $7,318.71 | $11,530.03 | |
Anthem BCBS
| Facility | $9,648.00 | $13,898.00 | $17,372.00 | |
Health New England
| Facility | $3,303.25 | $3,303.25 | $3,303.25 | |
United
| Facility | $5,944.00 | $10,417.00 | $16,323.00 |