| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,094.00 | $3,685.00 | |
AllWays Health Partners
| Facility | $1,148.90 | $3,997.00 | $9,039.00 | |
Fallon Health
| Facility | $685.13 | $1,349.66 | $6,679.00 | |
Mass General Brigham
| Facility | $1,902.00 | $4,446.33 | $12,000.00 | |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |