| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $408.01 | $4,450.00 | $8,031.00 | |
Anthem BCBS
| Facility | $8,217.00 | $10,234.00 | $11,908.00 | |
Health New England
| Facility | $3,308.45 | $3,308.45 | $3,308.45 | |
United
| Facility | $1,849.00 | $4,647.00 | $9,338.00 |