| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $902.00 | $6,653.00 | $9,583.00 | |
Anthem BCBS
| Facility | $15,158.14 | $16,049.80 | $17,933.32 | |
Health New England
| Facility | $4,823.85 | $4,823.85 | $4,823.85 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |