| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,995.26 | $4,570.88 | $8,511.38 | |
AllWays Health Partners
| Facility | $1,318.26 | $4,570.88 | $33,884.42 | |
Fallon Health
| Facility | $660.69 | $1,445.44 | $7,762.47 | |
Harvard Pilgrim
| Facility | $1,995.26 | $4,265.80 | $9,772.37 | |
Mass General Brigham
| Facility | $1,621.81 | $4,570.88 | $33,884.42 | |
United
| Facility | $1,862.09 | $4,265.80 | $9,772.37 |