| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.32 | $164.32 | $164.32 | |
AllWays Health Partners
| Facility | $381.25 | $818.35 | $2,796.00 | |
Cigna
| Facility | $3,290.92 | $14,868.13 | $20,251.00 | |
Fallon Health
| Facility | $169.14 | $351.60 | $6,679.00 | |
Mass General Brigham
| Facility | $502.00 | $1,856.00 | $3,445.00 | |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |