| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,090.00 | $9,085.00 | $26,899.00 | |
Anthem BCBS
| Facility | $9,385.00 | $18,430.00 | $27,764.00 | |
Health New England
| Facility | $2,565.92 | $2,565.92 | $2,565.92 | |
United
| Facility | $6,943.00 | $11,293.00 | $20,738.00 |