| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,894.76 | $6,107.00 | |
AllWays Health Partners
| Facility | $1,720.66 | $5,268.00 | $10,305.29 | |
Cigna
| Facility | $2,082.51 | $2,082.51 | $2,082.51 | |
Fallon Health
| Facility | $1,503.11 | $2,445.62 | $6,679.00 | |
Mass General Brigham
| Facility | $2,155.00 | $6,104.00 | $26,542.00 | |
United
| Facility | $2,155.00 | $4,402.00 | $8,810.00 |