| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,022.64 | $25,118.86 | $41,686.94 | |
AllWays Health Partners
| Facility | $6,165.95 | $22,908.68 | $61,659.50 | |
Cigna
| Facility | $15,135.61 | $23,442.29 | $33,884.42 | |
Harvard Pilgrim
| Facility | $6,165.95 | $22,387.21 | $61,659.50 | |
Mass General Brigham
| Facility | $6,165.95 | $22,908.68 | $61,659.50 | |
United
| Facility | $6,165.95 | $18,620.87 | $53,703.18 |