| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $659.00 | $2,067.00 | $4,088.00 | |
AllWays Health Partners
| Facility | $252.38 | $947.00 | $3,000.00 | |
Fallon Health
| Facility | $106.57 | $227.96 | $8,090.00 | |
Health New England
| Facility | $6,220.04 | $6,220.04 | $6,220.04 | |
Mass General Brigham
| Facility | $308.00 | $1,856.00 | $4,142.00 | |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |