| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,570.88 | $8,511.38 | $30,902.95 | |
Anthem BCBS
| Facility | $8,709.64 | $17,378.01 | $25,703.96 | |
Health New England
| Facility | $2,884.03 | $2,884.03 | $2,884.03 | |
United
| Facility | $7,244.36 | $11,220.18 | $18,620.87 |