| 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 | $936.33 | $4,916.00 | $15,169.65 | |
Fallon Health
| Facility | $397.49 | $855.32 | $6,679.00 | |
Mass General Brigham
| Facility | $1,867.35 | $5,097.00 | $16,394.00 | |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |