| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $199.53 | $245.47 | |
AllWays Health Partners
| Facility | $91.20 | $512.86 | $1,584.89 | |
Fallon Health
| Facility | $83.18 | $4,897.79 | $9,772.37 | |
Health New England
| Facility | $141.25 | $776.25 | $1,202.26 | |
Mass General Brigham
| Facility | $91.20 | $512.86 | $1,584.89 | |
United
| Facility | $173.78 | $173.78 | $173.78 |