| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,100.00 | $4,280.34 | $8,031.00 | |
Aetna
| Facility | 52 | $87.26 | $90.19 | $1,288.33 |
Anthem BCBS
| Facility | $2,826.00 | $4,634.53 | $7,588.00 | |
Health New England
| Facility | $2,756.58 | $2,756.58 | $3,912.56 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |