| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,421.00 | $2,663.12 | $4,806.64 | |
AllWays Health Partners
| Facility | $874.64 | $4,402.00 | $15,220.00 | |
Fallon Health
| Facility | $363.33 | $787.36 | $6,679.00 | |
Mass General Brigham
| Facility | $1,485.00 | $5,268.00 | $16,394.00 | |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |