| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,752.07 | $20,222.30 | $26,403.00 | |
AllWays Health Partners
| Facility | $5,840.42 | $18,228.57 | $49,451.25 | |
Cigna
| Facility | $11,426.26 | $18,893.57 | $28,548.41 | |
Harvard Pilgrim
| Facility | $16,463.00 | $19,033.57 | $29,392.31 | |
Mass General Brigham
| Facility | $5,840.42 | $18,228.57 | $49,451.25 | |
United
| Facility | $5,840.42 | $14,361.71 | $38,646.58 |