| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,103.80 | $25,098.80 | $32,770.10 | |
AllWays Health Partners
| Facility | $5,840.42 | $22,624.35 | $61,376.32 | |
Cigna
| Facility | $15,253.98 | $22,284.87 | $32,512.65 | |
Harvard Pilgrim
| Facility | $20,433.03 | $23,623.48 | $36,480.19 | |
Mass General Brigham
| Facility | $5,840.42 | $22,624.35 | $61,376.32 | |
United
| Facility | $5,840.42 | $17,825.00 | $47,966.14 |