| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $508.12 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $789.00 | $2,132.76 | $6,260.24 | |
Fallon Health
| Facility | $674.63 | $1,349.66 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $3,372.00 | $6,260.24 | |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |