| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $491.95 | $491.95 | $491.95 | |
Anthem BCBS
| Facility | $38,880.00 | $46,944.00 | $59,804.00 | |
Anthem BCBS
| Professional | $120.33 | $168.18 | $184.99 | |
Health New England
| Facility | $9,598.95 | $9,598.95 | $9,598.95 |