| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,074.70 | $2,447.48 | $5,454.00 | |
AllWays Health Partners
| Facility | $1,662.14 | $5,508.58 | $25,526.57 | |
Fallon Health
| Facility | $744.75 | $1,613.74 | $6,679.00 | |
Health New England
| Facility | $4,056.86 | $4,056.86 | $6,517.90 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $26,542.00 | |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |