| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,890.45 | $5,754.40 | $10,471.29 | |
Aetna
| Facility | 50 | $2,187.76 | $8,128.31 | $9,549.93 |
Anthem BCBS
| Facility | $3,715.35 | $4,168.69 | $12,022.64 | |
Health New England
| Facility | $588.84 | $588.84 | $588.84 | |
United
| Facility | $4,570.88 | $7,079.46 | $11,220.18 |