| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,494.69 | $20,652.98 | $35,754.51 | |
Aetna
| Professional | $1,630.18 | $2,494.69 | $2,494.69 | |
Anthem BCBS
| Professional | $0.03 | $0.03 | $20.01 | |
Health New England
| Facility | $11,252.80 | $27,143.30 | $40,873.60 |