| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,671.00 | $4,712.00 | |
AllWays Health Partners
| Facility | $1,061.00 | $3,818.90 | $12,379.00 | |
Fallon Health
| Facility | $469.49 | $999.84 | $6,679.00 | |
Mass General Brigham
| Facility | $1,753.72 | $4,525.00 | $26,542.00 | |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |