| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $790.42 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $927.52 | $4,254.00 | $14,547.21 | |
Fallon Health
| Facility | $809.24 | $1,733.34 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $4,671.00 | $14,018.00 | |
United
| Facility | $2,386.00 | $6,883.00 | $15,421.00 |