| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,722.42 | $10,651.00 | $21,500.49 | |
Anthem BCBS
| Facility | $9,678.00 | $16,131.00 | $26,433.00 | |
Health New England
| Facility | $2,611.41 | $2,611.41 | $2,611.41 | |
United
| Facility | $6,943.00 | $11,293.00 | $20,738.00 |