| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,090.00 | $7,629.00 | $11,611.96 | |
Anthem BCBS
| Facility | $6,802.79 | $16,133.17 | $21,953.20 | |
Health New England
| Facility | $15,813.72 | $15,813.72 | $15,813.72 | |
United
| Facility | $5,944.00 | $10,417.00 | $16,323.00 |