| 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 | $1,672.00 | $5,008.43 | $10,138.40 | |
Cigna
| Facility | $2,082.51 | $2,082.51 | $2,082.51 | |
Fallon Health
| Facility | $911.43 | $1,909.00 | $6,679.00 | |
Mass General Brigham
| Facility | $2,155.00 | $5,572.00 | $26,542.00 | |
United
| Facility | $2,155.00 | $4,402.00 | $8,810.00 |