| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $883.89 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $941.10 | $4,402.00 | $10,455.65 | |
Fallon Health
| Facility | $300.00 | $2,008.34 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $4,983.00 | $15,220.00 | |
United
| Facility | $1,850.00 | $5,572.00 | $11,272.00 |