| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,249.00 | $2,747.00 | $5,039.00 | |
Aetna
| Facility | 50 | $5,053.72 | $5,053.72 | $5,053.72 |
AllWays Health Partners
| Facility | $1,313.00 | $3,997.00 | $12,379.00 | |
Fallon Health
| Facility | $606.01 | $1,305.50 | $6,679.00 | |
Mass General Brigham
| Facility | $1,902.00 | $4,525.00 | $26,542.00 | |
United
| Facility | $1,700.00 | $4,249.00 | $9,821.00 |