| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,477.98 | $2,747.00 | $5,159.20 | |
AllWays Health Partners
| Facility | $1,485.00 | $4,402.00 | $9,401.00 | |
Fallon Health
| Facility | $684.29 | $1,482.50 | $6,679.00 | |
Health New England
| Facility | $6,134.64 | $6,134.64 | $6,134.64 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $26,542.00 | |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |