| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $2,747.00 | $5,039.00 | |
AllWays Health Partners
| Facility | $907.94 | $3,630.26 | $9,039.00 | |
Fallon Health
| Facility | $392.94 | $843.56 | $6,679.00 | |
Mass General Brigham
| Facility | $1,451.80 | $3,997.00 | $26,542.00 | |
United
| Facility | $1,700.00 | $4,249.00 | $9,821.00 |