| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $2,747.00 | $5,048.00 | |
AllWays Health Partners
| Facility | $921.68 | $2,826.85 | $8,498.00 | |
Fallon Health
| Facility | $412.69 | $900.48 | $6,679.00 | |
Health New England
| Facility | $3,863.50 | $3,863.50 | $3,863.50 | |
Mass General Brigham
| Facility | $1,521.04 | $3,592.00 | $26,542.00 | |
United
| Facility | $1,640.00 | $3,372.00 | $8,425.00 |