| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,733.00 | $4,712.00 | |
AllWays Health Partners
| Facility | $941.10 | $4,240.66 | $11,217.00 | |
Fallon Health
| Facility | $300.00 | $1,990.22 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $3,764.00 | $12,993.53 | |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |