| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,760.83 | $14,125.38 | $23,442.29 | |
AllWays Health Partners
| Facility | $6,165.95 | $12,882.50 | $33,884.42 | |
Cigna
| Facility | $7,943.28 | $13,489.63 | $19,952.62 | |
Harvard Pilgrim
| Facility | $6,165.95 | $12,589.25 | $33,884.42 | |
Mass General Brigham
| Facility | $6,165.95 | $12,882.50 | $33,884.42 | |
United
| Facility | $6,165.95 | $10,232.93 | $29,512.09 |