| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,943.00 | $7,825.00 | $13,387.00 | |
Anthem BCBS
| Facility | $11,517.00 | $15,873.00 | $20,044.23 | |
Health New England
| Facility | $4,581.33 | $4,581.33 | $14,994.56 | |
United
| Facility | $7,272.00 | $10,797.00 | $18,470.00 |