| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,961.00 | $3,107.00 | $8,271.00 | |
AllWays Health Partners
| Facility | $941.10 | $3,133.00 | $8,957.00 | |
Fallon Health
| Facility | $511.52 | $1,109.74 | $7,315.92 | |
Health New England
| Facility | $4,784.74 | $4,784.74 | $8,281.58 | |
Mass General Brigham
| Facility | $1,640.00 | $3,592.00 | $26,542.00 | |
United
| Facility | $1,640.00 | $3,372.00 | $8,425.00 |