| 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 | $1,061.00 | $3,715.00 | $11,217.00 | |
Fallon Health
| Facility | $616.20 | $1,334.84 | $6,679.00 | |
Mass General Brigham
| Facility | $1,902.00 | $3,997.00 | $26,542.00 | |
United
| Facility | $1,700.00 | $4,249.00 | $9,821.00 |