| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,749.00 | $3,294.02 | $7,203.00 | |
AllWays Health Partners
| Facility | $2,089.00 | $7,292.00 | $26,542.00 | |
Fallon Health
| Facility | $1,353.11 | $2,157.42 | $8,208.00 | |
Health New England
| Facility | $11,117.29 | $11,117.29 | $11,117.29 | |
Mass General Brigham
| Facility | $2,386.00 | $8,378.00 | $26,542.00 | |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |