| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,822.00 | $25,458.40 | $26,908.30 | |
AllWays Health Partners
| Facility | $3,750.00 | $9,750.00 | $50,254.49 | |
Cigna
| Facility | $14,539.55 | $24,041.46 | $36,326.94 | |
Harvard Pilgrim
| Facility | $20,948.65 | $24,219.61 | $37,400.76 | |
Mass General Brigham
| Facility | $3,750.00 | $9,750.00 | $50,254.49 | |
United
| Facility | $3,750.00 | $9,116.00 | $27,647.27 |