| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $294.50 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $743.62 | $4,221.42 | $9,012.00 | |
AllWays Health Partners
| Facility | 62 | $486.75 | $486.75 | $956.47 |
AllWays Health Partners
| Facility | AS | $77.88 | $77.88 | $153.04 |
Fallon Health
| Facility | $300.00 | $499.49 | $8,090.00 | |
Mass General Brigham
| Facility | $2,386.00 | $5,052.46 | $14,018.00 | |
Mass General Brigham
| Facility | 62 | $486.75 | $486.75 | $956.47 |
Mass General Brigham
| Facility | AS | $77.88 | $77.88 | $153.04 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |