| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $411.02 | $2,079.00 | $3,685.00 | |
AllWays Health Partners
| Facility | $1,007.77 | $3,764.00 | $12,000.00 | |
BCBS
| Facility | $502.81 | $653.65 | $1,153.45 | |
Fallon Health
| Facility | $422.70 | $916.82 | $6,679.00 | |
Mass General Brigham
| Facility | $1,902.00 | $4,249.00 | $12,000.00 | |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |