| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,618.00 | $3,579.00 | $5,883.00 | |
AllWays Health Partners
| Facility | $1,184.83 | $6,474.00 | $26,542.00 | |
Fallon Health
| Facility | $494.48 | $1,069.94 | $8,208.00 | |
Health New England
| Facility | $3,599.36 | $3,599.36 | $3,599.36 | |
Mass General Brigham
| Facility | $2,485.00 | $7,292.00 | $26,542.00 | |
United
| Facility | $2,485.00 | $6,474.00 | $13,737.00 |