| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,754.23 | $5,248.07 | $9,549.93 | |
Aetna
| Facility | 50 | $2,570.40 | $2,754.23 | $4,073.80 |
Anthem BCBS
| Facility | $4,786.30 | $13,803.84 | $19,952.62 | |
Health New England
| Facility | $512.86 | $512.86 | $512.86 | |
United
| Facility | $5,754.40 | $8,709.64 | $11,748.98 |