| 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 | $818.35 | $2,575.00 | $5,737.16 | |
Fallon Health
| Facility | $669.33 | $1,440.70 | $6,679.00 | |
Health New England
| Facility | $10,044.89 | $10,044.89 | $10,044.89 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $9,039.00 | |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |