| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,054.10 | $24,995.90 | $32,635.60 | |
AllWays Health Partners
| Facility | $5,840.42 | $22,826.37 | $61,124.54 | |
Cigna
| Facility | $14,123.51 | $23,353.52 | $35,287.44 | |
Harvard Pilgrim
| Facility | $20,349.21 | $23,526.57 | $36,330.55 | |
Mass General Brigham
| Facility | $5,840.42 | $22,826.37 | $61,124.54 | |
United
| Facility | $5,840.42 | $22,826.37 | $47,769.37 |