| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $2,747.00 | $5,039.00 | |
AllWays Health Partners
| Facility | $1,089.00 | $3,133.00 | $8,957.00 | |
Fallon Health
| Facility | $693.40 | $1,520.06 | $6,679.00 | |
Health New England
| Facility | $1,261.56 | $1,261.56 | $3,863.50 | |
Mass General Brigham
| Facility | $1,640.00 | $3,592.00 | $26,542.00 | |
United
| Facility | $1,640.00 | $3,372.00 | $8,425.00 |