| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,629.00 | $4,450.00 | $9,268.61 | |
Anthem BCBS
| Facility | $5,410.00 | $6,763.00 | $11,908.00 | |
Health New England
| Facility | $7,247.14 | $7,247.14 | $7,247.14 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |