| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,467.37 | $6,918.31 | $13,489.63 | |
Aetna
| Facility | 50 | $1,000.00 | $9,332.54 | $14,791.08 |
Anthem BCBS
| Facility | $4,677.35 | $16,218.10 | $19,952.62 | |
Health New England
| Facility | $512.86 | $1,479.11 | $3,162.28 | |
United
| Facility | $5,754.40 | $8,709.64 | $11,748.98 |