| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $4,570.88 | $8,511.38 | |
AllWays Health Partners
| Facility | $2,884.03 | $6,309.57 | $16,595.87 | |
Fallon Health
| Facility | $1,122.02 | $2,344.23 | $7,762.47 | |
Harvard Pilgrim
| Facility | $2,511.89 | $6,165.95 | $13,182.57 | |
Mass General Brigham
| Facility | $3,388.44 | $7,079.46 | $16,595.87 | |
United
| Facility | $2,511.89 | $6,309.57 | $13,803.84 |