| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $3,630.78 | $5,623.41 | |
AllWays Health Partners
| Facility | $1,698.24 | $4,570.88 | $33,884.42 | |
Fallon Health
| Facility | $707.95 | $1,995.26 | $7,079.46 | |
Harvard Pilgrim
| Facility | $1,698.24 | $3,630.78 | $8,511.38 | |
Mass General Brigham
| Facility | $1,698.24 | $4,570.88 | $33,884.42 | |
United
| Facility | $1,584.89 | $3,630.78 | $8,511.38 |