| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,421.00 | $2,663.12 | $4,767.00 | |
AllWays Health Partners
| Facility | $1,313.00 | $3,997.00 | $14,302.50 | |
Fallon Health
| Facility | $683.45 | $1,461.44 | $6,679.00 | |
Mass General Brigham
| Facility | $1,902.00 | $4,525.00 | $16,394.00 | |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |