| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,663.12 | $4,712.00 | |
AllWays Health Partners
| Facility | $839.22 | $3,997.00 | $12,379.00 | |
Fallon Health
| Facility | $358.48 | $760.58 | $6,679.00 | |
Health New England
| Facility | $4,115.38 | $4,288.06 | $6,246.47 | |
Mass General Brigham
| Facility | $1,343.88 | $4,525.00 | $26,542.00 | |
United
| Facility | $1,902.00 | $4,525.00 | $9,979.18 |