| 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 | $1,313.00 | $3,630.26 | $12,379.00 | |
Fallon Health
| Facility | $878.24 | $1,901.34 | $6,679.00 | |
Mass General Brigham
| Facility | $1,902.00 | $5,098.00 | $26,542.00 | |
United
| Facility | $1,700.00 | $4,249.00 | $9,821.00 |