| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,332.54 | $19,498.45 | $32,359.37 | |
AllWays Health Partners
| Facility | $6,165.95 | $17,782.79 | $52,480.75 | |
Cigna
| Facility | $10,964.78 | $18,620.87 | $27,542.29 | |
Harvard Pilgrim
| Facility | $6,165.95 | $17,782.79 | $47,863.01 | |
Mass General Brigham
| Facility | $6,165.95 | $17,782.79 | $52,480.75 | |
United
| Facility | $6,165.95 | $14,454.40 | $40,738.03 |