| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,650.00 | $7,629.00 | $12,992.67 | |
Aetna
| Facility | 50 | $2,390.60 | $9,444.02 | $13,387.00 |
Anthem BCBS
| Facility | $2,826.00 | $4,727.00 | $12,905.00 | |
Health New England
| Facility | $513.69 | $1,236.63 | $5,733.40 | |
United
| Facility | $5,325.00 | $8,250.00 | $11,880.00 |