| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,094.00 | $3,685.00 | |
AllWays Health Partners
| Facility | $1,089.00 | $3,672.00 | $12,000.00 | |
Mass General Brigham
| Facility | $1,640.00 | $4,569.00 | $12,000.00 | |
United
| Facility | $1,640.00 | $3,372.00 | $8,425.00 |