| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,733.00 | $4,712.00 | |
AllWays Health Partners
| Facility | $1,607.24 | $5,268.00 | $15,220.00 | |
Fallon Health
| Facility | $724.34 | $1,546.12 | $6,679.00 | |
Mass General Brigham
| Facility | $2,155.00 | $6,104.00 | $26,542.00 | |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |