| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $961.78 | $2,663.12 | $4,410.00 | |
AllWays Health Partners
| Facility | $1,491.75 | $4,916.00 | $16,742.00 | |
Fallon Health
| Facility | $666.59 | $1,444.04 | $6,679.00 | |
Health New England
| Facility | $10,381.53 | $10,381.53 | $10,381.53 | |
Mass General Brigham
| Facility | $2,324.00 | $5,097.00 | $26,542.00 | |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |