| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $941.10 | $4,249.00 | $15,061.30 | |
Fallon Health
| Facility | $1,328.71 | $2,099.36 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $3,997.00 | $11,217.00 | |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |