| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $743.38 | $2,671.00 | $5,011.00 | |
AllWays Health Partners
| Facility | $1,061.00 | $3,715.00 | $9,039.00 | |
Fallon Health
| Facility | $518.22 | $1,129.06 | $6,679.00 | |
Health New England
| Facility | $4,320.31 | $4,835.54 | $4,959.89 | |
Mass General Brigham
| Facility | $1,902.00 | $3,997.00 | $26,542.00 | |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |