| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,628.32 | $15,818.40 | $20,653.20 | |
AllWays Health Partners
| Facility | $5,840.42 | $14,258.87 | $38,682.07 | |
Cigna
| Facility | $8,937.92 | $14,779.05 | $22,331.32 | |
Harvard Pilgrim
| Facility | $12,877.80 | $14,888.56 | $22,991.44 | |
Mass General Brigham
| Facility | $5,840.42 | $14,258.87 | $38,682.07 | |
United
| Facility | $5,840.42 | $11,234.11 | $30,230.38 |