| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,862.00 | $6,607.00 | $9,583.00 | |
Anthem BCBS
| Facility | $2,826.00 | $4,945.58 | $11,830.00 | |
Health New England
| Facility | $2,592.21 | $3,282.16 | $4,321.83 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |