| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $664.94 | $2,447.48 | $4,410.00 | |
AllWays Health Partners
| Facility | $1,043.32 | $4,402.00 | $9,401.00 | |
Fallon Health
| Facility | $463.30 | $996.52 | $6,679.00 | |
Health New England
| Facility | $1,095.43 | $1,095.43 | $1,816.44 | |
Mass General Brigham
| Facility | $1,718.80 | $5,268.00 | $26,542.00 | |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |