| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $659.00 | $2,094.00 | $3,685.00 | |
AllWays Health Partners
| Facility | $128.03 | $680.72 | $2,733.00 | |
Cigna
| Facility | $50.00 | $50.00 | $50.00 | |
Fallon Health
| Facility | $68.52 | $168.26 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $1,300.00 | $3,445.00 | |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |