| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,495.50 | $27,984.80 | $36,538.19 | |
AllWays Health Partners
| Facility | $5,840.42 | $25,555.90 | $68,433.70 | |
Cigna
| Facility | $15,812.37 | $26,146.09 | $39,507.06 | |
Harvard Pilgrim
| Facility | $22,782.53 | $26,339.83 | $40,674.89 | |
Mass General Brigham
| Facility | $5,840.42 | $25,555.90 | $68,433.70 | |
United
| Facility | $5,840.42 | $25,916.47 | $59,561.07 |