| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,159.00 | $3,685.00 | |
AllWays Health Partners
| Facility | $2,155.00 | $4,983.00 | $9,401.00 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Mass General Brigham
| Facility | $2,155.00 | $4,983.00 | $9,401.00 | |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |