| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,132.75 | $6,015.00 | $9,479.00 | |
Anthem BCBS
| Facility | $2,826.00 | $4,945.58 | $12,905.00 | |
Health New England
| Facility | $2,756.58 | $2,756.58 | $2,756.58 | |
United
| Facility | $5,325.00 | $8,250.00 | $11,880.00 |