| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,094.00 | $3,685.00 | |
AllWays Health Partners
| Facility | $1,496.23 | $6,078.00 | $12,729.53 | |
Fallon Health
| Facility | $638.29 | $1,364.74 | $6,679.00 | |
Mass General Brigham
| Facility | $2,386.00 | $7,292.00 | $14,302.50 | |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |