| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $2,884.03 | $5,128.61 | |
AllWays Health Partners
| Facility | $2,187.76 | $7,244.36 | $28,840.32 | |
Fallon Health
| Facility | $501.19 | $1,819.70 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,511.89 | $6,165.95 | $13,182.57 | |
Mass General Brigham
| Facility | $2,187.76 | $7,585.78 | $28,840.32 | |
United
| Facility | $2,511.89 | $6,309.57 | $16,595.87 |