| 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 | $3,982.52 | $5,737.16 | |
Fallon Health
| Facility | $1,233.59 | $1,986.44 | $7,218.72 | |
Mass General Brigham
| Facility | $55.00 | $3,764.00 | $9,039.00 | |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |