| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,387.50 | $8,031.00 | $13,387.00 | |
Aetna
| Facility | 52 | $1,111.74 | $1,111.74 | $1,347.92 |
Anthem BCBS
| Facility | $12,905.00 | $20,575.00 | $25,992.00 | |
Health New England
| Facility | $8,342.11 | $8,342.11 | $11,628.23 | |
United
| Facility | $8,706.00 | $11,710.00 | $21,600.00 |