| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.27 | $6,025.60 | $12,022.64 | |
Anthem BCBS
| Facility | $8,912.51 | $17,378.01 | $31,622.78 | |
Health New England
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
United
| Facility | $6,456.54 | $10,471.29 | $16,218.10 |