| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,150.00 | $8,031.00 | $13,387.00 | |
Anthem BCBS
| Facility | $9,650.00 | $12,062.00 | $17,071.00 | |
Health New England
| Facility | $3,917.13 | $3,917.13 | $7,272.38 | |
United
| Facility | $5,325.00 | $8,250.00 | $11,880.00 |