| 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 | $1,313.00 | $3,764.00 | $11,879.05 | |
Cigna
| Facility | $2,748.18 | $2,748.18 | $2,748.18 | |
Fallon Health
| Facility | $684.08 | $1,486.24 | $6,679.00 | |
Mass General Brigham
| Facility | $1,685.00 | $4,249.00 | $26,542.00 | |
United
| Facility | $1,685.00 | $3,715.00 | $8,766.00 |