| 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 | $1,990.42 | $5,508.58 | $34,142.99 | |
Fallon Health
| Facility | $1,213.72 | $1,949.43 | $6,679.00 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $26,542.00 | |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |