| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $4,806.64 | |
AllWays Health Partners
| Facility | $894.79 | $3,997.00 | $12,623.50 | |
Fallon Health
| Facility | $373.88 | $807.46 | $6,679.00 | |
Health New England
| Facility | $4,115.38 | $4,115.38 | $4,115.38 | |
Mass General Brigham
| Facility | $1,389.64 | $4,525.00 | $26,542.00 | |
United
| Facility | $1,700.00 | $4,249.00 | $9,821.00 |