| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $4,712.00 | |
AllWays Health Partners
| Facility | $1,448.05 | $4,402.00 | $9,401.00 | |
Fallon Health
| Facility | $671.30 | $1,448.50 | $6,679.00 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $20,000.00 | |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |