| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,775.00 | $3,775.00 | $12,674.31 | |
Aetna
| Professional | $3,775.00 | $3,775.00 | $7,961.62 | |
AllWays Health Partners
| Facility | $100.00 | $818.35 | $5,913.52 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Health New England
| Facility | $5,695.06 | $5,695.06 | $9,901.52 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $5,913.52 |