| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,722.42 | $15,171.00 | $81,021.00 | |
Anthem BCBS
| Facility | $17,206.00 | $80,690.00 | $95,646.72 | |
Health New England
| Facility | $26,762.11 | $26,762.11 | $26,762.11 | |
United
| Facility | $5,282.00 | $13,497.00 | $50,615.00 |