| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,312.93 | $4,450.00 | $8,031.00 | |
Aetna
| Facility | 50 | $2,145.78 | $2,145.78 | $2,145.78 |
Anthem BCBS
| Facility | $36,820.00 | $36,820.00 | $36,820.00 | |
Health New England
| Facility | $899.47 | $899.47 | $899.47 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |