| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,570.88 | $9,549.93 | $15,848.93 | |
Anthem BCBS
| Facility | $8,317.64 | $14,125.38 | $16,595.87 | |
Health New England
| Facility | $1,548.82 | $1,548.82 | $1,548.82 | |
United
| Facility | $6,456.54 | $10,471.29 | $16,218.10 |