| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,916.84 | $12,269.40 | $16,019.40 | |
AllWays Health Partners
| Facility | $5,840.42 | $11,059.76 | $30,003.40 | |
Cigna
| Facility | $6,932.62 | $11,463.24 | $17,321.09 | |
Harvard Pilgrim
| Facility | $9,988.54 | $11,548.18 | $17,833.09 | |
Mass General Brigham
| Facility | $5,840.42 | $11,059.76 | $30,003.40 | |
United
| Facility | $5,840.42 | $9,750.00 | $23,447.92 |