| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,249.00 | $2,747.00 | $5,039.00 | |
AllWays Health Partners
| Facility | $1,313.12 | $4,751.20 | $12,850.00 | |
Fallon Health
| Facility | $300.00 | $1,909.00 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $5,063.00 | $12,850.00 | |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |