| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,894.76 | $6,117.00 | |
AllWays Health Partners
| Facility | $1,534.92 | $5,508.58 | $25,526.57 | |
Fallon Health
| Facility | $688.64 | $1,478.28 | $6,679.00 | |
Health New England
| Facility | $5,737.42 | $5,737.42 | $5,737.42 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $26,542.00 | |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |