| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,707.00 | $8,031.00 | $12,554.47 | |
Anthem BCBS
| Facility | $7,328.00 | $9,160.00 | $12,904.00 | |
Health New England
| Facility | $6,961.82 | $6,961.82 | $6,961.82 | |
United
| Facility | $5,325.00 | $8,250.00 | $11,880.00 |