| 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 | $941.10 | $3,133.00 | $8,957.00 | |
Fallon Health
| Facility | $473.46 | $1,042.28 | $6,679.00 | |
Health New England
| Facility | $4,115.38 | $4,115.38 | $4,115.38 | |
Mass General Brigham
| Facility | $1,640.00 | $3,592.00 | $26,542.00 | |
United
| Facility | $1,640.00 | $3,372.00 | $8,425.00 |