| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,894.00 | $6,107.00 | |
AllWays Health Partners
| Facility | $941.10 | $4,402.00 | $10,174.20 | |
Fallon Health
| Facility | $300.00 | $1,411.50 | $8,090.00 | |
Health New England
| Facility | $15,587.38 | $15,587.38 | $15,587.38 | |
Mass General Brigham
| Facility | $55.00 | $5,268.00 | $10,899.50 | |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |