| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $811.84 | $2,663.12 | $4,410.00 | |
AllWays Health Partners
| Facility | $1,172.91 | $3,623.11 | $13,483.66 | |
BCBS
| Facility | $847.97 | $1,089.64 | $1,945.24 | |
Fallon Health
| Facility | $719.04 | $1,546.18 | $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 |