| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $4,570.88 | $8,511.38 | |
AllWays Health Partners
| Facility | $2,691.53 | $7,244.36 | $22,387.21 | |
Fallon Health
| Facility | $575.44 | $1,995.26 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,691.53 | $6,918.31 | $20,417.38 | |
Mass General Brigham
| Facility | $2,691.53 | $7,413.10 | $22,387.21 | |
United
| Facility | $2,691.53 | $7,244.36 | $26,915.35 |