| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,150.00 | $8,271.00 | $14,591.30 | |
Anthem BCBS
| Facility | $11,659.00 | $13,771.00 | $20,288.00 | |
Health New England
| Facility | $4,901.54 | $4,901.54 | $4,901.54 | |
United
| Facility | $5,325.00 | $8,250.00 | $16,479.00 |