| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,650.00 | $6,343.00 | $9,479.00 | |
Aetna
| Facility | 50 | $1,324.43 | $5,163.50 | $8,129.44 |
Anthem BCBS
| Facility | $2,826.00 | $4,945.58 | $10,470.00 | |
Health New England
| Facility | $908.91 | $908.91 | $1,582.40 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |