| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.50 | $1,758.00 | $4,346.00 | |
AllWays Health Partners
| Facility | $941.10 | $2,854.00 | $9,039.00 | |
BCBS
| Facility | $494.88 | $635.91 | $1,135.25 | |
Fallon Health
| Facility | $418.32 | $902.36 | $6,679.00 | |
Mass General Brigham
| Facility | $1,902.00 | $3,764.00 | $26,542.00 | |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |