| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,012.00 | $2,667.00 | $4,410.00 | |
AllWays Health Partners
| Facility | $1,043.50 | $3,133.00 | $8,908.95 | |
Fallon Health
| Facility | $609.16 | $1,341.76 | $6,679.00 | |
Health New England
| Facility | $4,056.86 | $4,056.86 | $4,056.86 | |
Mass General Brigham
| Facility | $1,640.00 | $3,592.00 | $26,542.00 | |
United
| Facility | $1,640.00 | $3,372.00 | $8,425.00 |