| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,485.00 | $2,663.12 | $3,693.00 | |
AllWays Health Partners
| Facility | $380.01 | $2,329.00 | $4,689.00 | |
Fallon Health
| Facility | $237.32 | $497.38 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $2,376.00 | $8,498.00 | |
United
| Facility | $1,640.00 | $3,372.00 | $8,425.00 |