| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,908.03 | $9,868.11 | $26,899.00 | |
Anthem BCBS
| Facility | $9,678.00 | $16,131.00 | $26,433.00 | |
Health New England
| Facility | $13,009.12 | $14,263.56 | $25,605.96 | |
United
| Facility | $6,943.00 | $11,688.00 | $20,738.00 |