| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $5,623.41 | $10,471.29 | |
Aetna
| Facility | 50 | $8,511.38 | $8,511.38 | $8,511.38 |
Anthem BCBS
| Facility | $4,677.35 | $11,748.98 | $13,803.84 | |
Health New England
| Facility | $10,232.93 | $10,232.93 | $10,232.93 | |
United
| Facility | $4,570.88 | $7,079.46 | $11,220.18 |