| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,165.63 | $6,653.00 | $9,479.00 | |
Anthem BCBS
| Facility | $5,786.00 | $8,873.00 | $12,904.00 | |
Health New England
| Facility | $3,361.26 | $3,361.26 | $3,361.26 | |
United
| Facility | $5,944.00 | $10,417.00 | $16,323.00 |