| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,618.00 | $3,111.85 | $8,272.00 | |
AllWays Health Partners
| Facility | $1,591.00 | $4,751.20 | $11,028.78 | |
Fallon Health
| Facility | $799.72 | $1,727.54 | $7,315.92 | |
Mass General Brigham
| Facility | $2,000.00 | $5,063.00 | $13,773.00 | |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |