| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $2,747.00 | $5,039.00 | |
AllWays Health Partners
| Facility | $1,792.37 | $5,113.64 | $12,762.82 | |
Fallon Health
| Facility | $1,586.03 | $2,556.12 | $6,679.00 | |
Mass General Brigham
| Facility | $1,902.00 | $5,098.00 | $26,542.00 | |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |