| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,717.72 | $8,299.99 | $13,751.61 | |
Anthem BCBS
| Facility | $12,098.00 | $19,440.00 | $25,992.00 | |
Health New England
| Facility | $2,911.52 | $2,911.52 | $2,911.52 | |
United
| Facility | $6,943.00 | $10,797.00 | $18,470.00 |