| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,643.60 | $7,629.00 | $12,992.67 | |
Anthem BCBS
| Facility | $12,098.00 | $16,131.00 | $17,658.00 | |
Health New England
| Facility | $2,613.14 | $2,613.14 | $2,613.14 | |
United
| Facility | $5,944.00 | $10,417.00 | $16,323.00 |