| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $4,712.00 | |
AllWays Health Partners
| Facility | $1,438.26 | $6,096.00 | $26,542.00 | |
Fallon Health
| Facility | $645.02 | $1,371.80 | $6,679.00 | |
Health New England
| Facility | $2,793.01 | $2,941.55 | $3,217.80 | |
Mass General Brigham
| Facility | $2,485.00 | $6,474.00 | $31,048.85 | |
United
| Facility | $2,485.00 | $6,474.00 | $20,362.00 |