| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,822.00 | $89,966.80 | $120,158.00 | |
AllWays Health Partners
| Facility | $5,840.42 | $81,096.96 | $220,003.33 | |
Cigna
| Facility | $50,834.22 | $84,055.48 | $127,008.84 | |
Harvard Pilgrim
| Facility | $73,242.17 | $84,678.33 | $130,763.23 | |
Mass General Brigham
| Facility | $5,840.42 | $81,096.96 | $220,003.33 | |
United
| Facility | $5,840.42 | $82,158.11 | $171,934.55 |