| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,815.00 | $5,459.00 | $15,881.54 | |
Anthem BCBS
| Facility | $7,483.00 | $15,148.00 | $17,933.32 | |
Health New England
| Facility | $14,093.23 | $14,093.23 | $14,093.23 | |
United
| Facility | $6,943.00 | $10,797.00 | $20,738.00 |