| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,733.00 | $4,712.00 | |
AllWays Health Partners
| Facility | $965.08 | $3,372.00 | $8,498.00 | |
Cigna
| Facility | $1,593.42 | $1,593.42 | $1,593.42 | |
Fallon Health
| Facility | $426.43 | $925.96 | $6,679.00 | |
Mass General Brigham
| Facility | $1,245.00 | $3,649.00 | $26,542.00 | |
United
| Facility | $1,245.00 | $3,372.00 | $8,425.00 |