| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,458.68 | $9,623.87 | $19,099.79 | |
Anthem BCBS
| Facility | $11,517.00 | $17,206.00 | $27,764.00 | |
Health New England
| Facility | $16,010.28 | $16,010.28 | $28,385.48 | |
United
| Facility | $5,944.00 | $10,417.00 | $16,323.00 |