| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,733.00 | $4,712.00 | |
AllWays Health Partners
| Facility | $1,672.00 | $5,472.84 | $11,272.00 | |
Fallon Health
| Facility | $300.00 | $1,572.24 | $8,090.00 | |
Mass General Brigham
| Facility | $2,155.00 | $5,572.00 | $11,272.00 | |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |