| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,894.83 | $14,297.40 | $18,667.30 | |
AllWays Health Partners
| Facility | $5,840.42 | $12,887.82 | $34,962.64 | |
Cigna
| Facility | $8,078.51 | $13,357.99 | $20,184.08 | |
Harvard Pilgrim
| Facility | $11,639.55 | $13,456.97 | $20,780.72 | |
Mass General Brigham
| Facility | $5,840.42 | $12,887.82 | $34,962.64 | |
United
| Facility | $5,840.42 | $10,153.90 | $27,323.61 |