| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $4,677.35 | $15,848.93 | |
Aetna
| Facility | 50 | $3,311.31 | $3,311.31 | $3,311.31 |
Anthem BCBS
| Facility | $7,413.10 | $12,302.69 | $16,595.87 | |
Health New England
| Facility | $158.49 | $158.49 | $158.49 | |
United
| Facility | $5,754.40 | $8,709.64 | $11,748.98 |