| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $2,747.00 | $5,039.00 | |
AllWays Health Partners
| Facility | $822.00 | $3,133.00 | $8,957.00 | |
Fallon Health
| Facility | $349.91 | $762.68 | $6,679.00 | |
Mass General Brigham
| Facility | $1,291.11 | $3,592.00 | $26,542.00 | |
United
| Facility | $1,450.00 | $3,592.00 | $8,498.00 |