| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.81 | $2,618.00 | $3,625.00 | |
AllWays Health Partners
| Facility | $247.34 | $2,338.00 | $4,989.20 | |
Fallon Health
| Facility | $105.88 | $725.16 | $6,679.00 | |
Mass General Brigham
| Facility | $274.52 | $3,133.00 | $4,989.20 | |
United
| Facility | $1,640.00 | $3,372.00 | $8,425.00 |