| 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 | $1,960.76 | $6,078.00 | $21,130.00 | |
Fallon Health
| Facility | $869.98 | $1,859.42 | $6,679.00 | |
Health New England
| Facility | $4,436.96 | $8,316.84 | $8,530.71 | |
Mass General Brigham
| Facility | $2,386.00 | $7,292.00 | $26,542.00 | |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |