| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,736.04 | $6,040.31 | $10,492.00 | |
Aetna
| Facility | 50 | $2,173.08 | $7,660.50 | $9,460.64 |
Anthem BCBS
| Facility | $8,217.00 | $8,931.00 | $11,908.00 | |
Health New England
| Facility | $586.58 | $586.58 | $586.58 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |