| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.61 | $109.61 | $3,802.56 | |
Aetna
| Professional | $11.16 | $109.61 | $1,041.46 | |
Anthem BCBS
| Professional | $0.03 | $0.03 | $0.03 | |
Health New England
| Facility | $446.99 | $446.99 | $446.99 | |
United
| Professional | $50.00 | $50.00 | $50.00 |