| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,663.12 | $3,627.00 | $8,272.00 | |
AllWays Health Partners
| Facility | $2,016.00 | $7,775.00 | $38,171.92 | |
Cigna
| Facility | $3,700.00 | $14,868.13 | $20,251.00 | |
Fallon Health
| Facility | $870.25 | $1,802.24 | $6,679.00 | |
Mass General Brigham
| Facility | $2,594.00 | $8,746.98 | $30,331.00 | |
United
| Facility | $2,594.00 | $7,775.00 | $16,522.00 |