| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,421.00 | $2,663.12 | $3,693.00 | |
AllWays Health Partners
| Facility | $950.36 | $5,097.00 | $16,394.00 | |
Fallon Health
| Facility | $406.30 | $871.90 | $6,679.00 | |
Health New England
| Facility | $2,941.55 | $2,941.55 | $2,941.55 | |
Mass General Brigham
| Facility | $2,261.76 | $6,280.00 | $16,394.00 | |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |