| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,733.00 | $4,712.00 | |
AllWays Health Partners
| Facility | $1,085.44 | $4,402.00 | $9,401.00 | |
Fallon Health
| Facility | $485.80 | $1,056.80 | $6,679.00 | |
Health New England
| Facility | $4,341.72 | $4,341.72 | $6,624.75 | |
Mass General Brigham
| Facility | $1,798.64 | $5,268.00 | $26,542.00 | |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |