| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $3,388.44 | $5,623.41 | |
AllWays Health Partners
| Facility | $1,174.90 | $5,623.41 | $45,708.82 | |
Fallon Health
| Facility | $478.63 | $1,047.13 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,137.96 | $5,248.07 | $11,220.18 | |
Mass General Brigham
| Facility | $1,174.90 | $5,623.41 | $45,708.82 | |
United
| Facility | $2,041.74 | $5,248.07 | $10,715.19 |