| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,421.00 | $2,663.12 | $3,693.00 | |
AllWays Health Partners
| Facility | $754.34 | $4,916.00 | $36,275.61 | |
Fallon Health
| Facility | $312.85 | $676.12 | $6,679.00 | |
Mass General Brigham
| Facility | $1,763.76 | $5,097.00 | $29,289.00 | |
United
| Facility | $2,324.00 | $5,097.00 | $12,850.00 |