| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,280.34 | $7,629.00 | $14,780.16 | |
Aetna
| Facility | 52 | $471.68 | $471.68 | $622.61 |
Anthem BCBS
| Facility | $12,098.00 | $16,865.00 | $20,140.41 | |
Health New England
| Facility | $8,342.11 | $8,342.11 | $11,628.23 | |
United
| Facility | $6,943.00 | $10,797.00 | $18,470.00 |