| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,680.00 | $8,509.50 | $19,099.79 | |
Aetna
| Facility | 50 | $6,725.00 | $11,948.54 | $36,030.15 |
Anthem BCBS
| Facility | $9,716.00 | $15,158.14 | $20,575.00 | |
Health New England
| Facility | $8,734.56 | $9,186.26 | $14,814.67 | |
United
| Facility | $5,944.00 | $10,417.00 | $16,323.00 |