| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,894.00 | $6,107.00 | |
AllWays Health Partners
| Facility | $818.35 | $3,895.00 | $12,491.12 | |
Cigna
| Facility | $5,581.60 | $5,581.60 | $5,581.60 | |
Fallon Health
| Facility | $717.72 | $1,555.58 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $4,916.00 | $16,742.00 | |
United
| Facility | $2,324.00 | $5,063.00 | $10,764.00 |