| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.50 | $2,497.00 | $6,006.89 | |
AllWays Health Partners
| Facility | $1,591.00 | $4,916.00 | $16,742.00 | |
Fallon Health
| Facility | $822.54 | $1,776.32 | $6,679.00 | |
Health New England
| Facility | $164.63 | $164.63 | $164.63 | |
Mass General Brigham
| Facility | $2,324.00 | $5,097.00 | $26,542.00 | |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |