| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $8,511.38 | $13,489.63 | |
Anthem BCBS
| Facility | $8,317.64 | $15,135.61 | $16,595.87 | |
Health New England
| Facility | $2,818.38 | $3,981.07 | $4,168.69 | |
United
| Facility | $5,754.40 | $8,709.64 | $11,748.98 |