| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,013.00 | $7,521.00 | $9,637.10 | |
Anthem BCBS
| Facility | $8,217.00 | $10,956.00 | $15,054.00 | |
Health New England
| Facility | $6,543.82 | $6,543.82 | $6,543.82 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |