| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $7,625.00 | |
AllWays Health Partners
| Facility | $895.29 | $8,289.00 | $77,879.00 | |
Fallon Health
| Facility | $214.32 | $560.16 | $6,679.00 | |
Mass General Brigham
| Facility | $2,678.00 | $9,589.00 | $102,212.00 | |
United
| Facility | $2,678.00 | $8,289.00 | $77,879.00 |