| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $869.06 | $2,581.76 | $3,693.00 | |
AllWays Health Partners
| Facility | $1,061.00 | $3,715.00 | $9,039.00 | |
Fallon Health
| Facility | $602.16 | $1,306.64 | $6,679.00 | |
Health New England
| Facility | $2,788.20 | $2,788.20 | $2,788.20 | |
Mass General Brigham
| Facility | $1,902.00 | $3,997.00 | $16,394.00 | |
United
| Facility | $1,902.00 | $4,366.46 | $9,821.00 |