| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,596.97 | $5,236.00 | $11,400.00 | |
Aetna
| Facility | 52 | $219.96 | $229.25 | $798.49 |
Anthem BCBS
| Facility | $2,826.00 | $4,945.58 | $10,000.00 | |
Health New England
| Facility | $3,912.56 | $3,912.56 | $4,130.10 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |