| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,894.76 | $6,617.00 | |
AllWays Health Partners
| Facility | $1,591.00 | $4,916.00 | $16,742.00 | |
Cigna
| Facility | $4,492.79 | $4,492.79 | $4,492.79 | |
Fallon Health
| Facility | $1,127.00 | $1,909.00 | $6,679.00 | |
Mass General Brigham
| Facility | $2,324.00 | $6,204.00 | $26,542.00 | |
United
| Facility | $2,324.00 | $5,063.00 | $10,764.00 |