| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,722.42 | $9,209.24 | $14,877.10 | |
Aetna
| Facility | 50 | $5,790.80 | $9,884.15 | $20,647.71 |
Anthem BCBS
| Facility | $11,517.00 | $15,873.00 | $20,044.23 | |
Health New England
| Facility | $2,290.67 | $4,590.96 | $13,192.92 | |
United
| Facility | $7,272.00 | $10,797.00 | $18,470.00 |