| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $693.36 | $2,079.00 | $3,625.00 | |
AllWays Health Partners
| Facility | $1,106.00 | $2,078.00 | $12,000.00 | |
Fallon Health
| Facility | $324.24 | $697.40 | $6,679.00 | |
Mass General Brigham
| Facility | $1,106.00 | $2,078.00 | $12,000.00 | |
United
| Facility | $1,106.00 | $2,408.00 | $5,683.00 |