| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $821.10 | $4,254.00 | $13,940.55 | |
Fallon Health
| Facility | $731.69 | $1,581.34 | $7,218.72 | |
Mass General Brigham
| Facility | $55.00 | $5,097.00 | $15,421.00 | |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |