| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $743.00 | $1,845.24 | $3,469.00 | |
AllWays Health Partners
| Facility | $1,591.00 | $4,916.00 | $16,394.00 | |
Fallon Health
| Facility | $746.80 | $1,610.52 | $6,679.00 | |
Health New England
| Facility | $3,103.34 | $3,103.34 | $3,103.34 | |
Mass General Brigham
| Facility | $2,324.00 | $5,097.00 | $16,394.00 | |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |