| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $4,712.00 | |
AllWays Health Partners
| Facility | $818.35 | $5,097.00 | $12,850.00 | |
Fallon Health
| Facility | $83.43 | $3,504.00 | $9,239.00 | |
Mass General Brigham
| Facility | $2,324.00 | $4,916.00 | $12,850.00 | |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 | |
United
| Professional | $52.50 | $52.50 | $52.50 |