| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,711.07 | $15,990.00 | $20,877.20 | |
AllWays Health Partners
| Facility | $5,840.42 | $14,413.55 | $39,101.69 | |
Cigna
| Facility | $9,034.87 | $14,939.38 | $22,573.58 | |
Harvard Pilgrim
| Facility | $13,017.50 | $15,050.08 | $23,240.85 | |
Mass General Brigham
| Facility | $5,840.42 | $14,413.55 | $39,101.69 | |
United
| Facility | $5,840.42 | $11,355.98 | $30,558.33 |