| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $3,311.31 | $5,128.61 | |
AllWays Health Partners
| Facility | $1,548.82 | $4,265.80 | $45,708.82 | |
Fallon Health
| Facility | $575.44 | $1,318.26 | $7,079.46 | |
Harvard Pilgrim
| Facility | $1,698.24 | $3,981.07 | $9,772.37 | |
Mass General Brigham
| Facility | $1,621.81 | $4,265.80 | $45,708.82 | |
United
| Facility | $1,698.24 | $4,265.80 | $10,471.29 |