| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,200.00 | $1,700.00 | $3,110.00 | |
AllWays Health Partners
| Facility | $1,213.00 | $1,213.00 | $5,000.00 | |
Fallon Health
| Facility | $60.00 | $3,504.00 | $9,239.00 | |
Mass General Brigham
| Facility | $1,213.00 | $1,213.00 | $5,000.00 | |
United
| Facility | $1,213.00 | $1,213.00 | $1,213.00 |