| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $4,806.64 | |
AllWays Health Partners
| Facility | $1,061.00 | $4,430.84 | $9,039.00 | |
Fallon Health
| Facility | $1,787.26 | $2,867.00 | $7,218.72 | |
Mass General Brigham
| Facility | $55.00 | $3,764.00 | $18,607.93 | |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |