| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,094.00 | $3,685.00 | |
AllWays Health Partners
| Facility | $506.73 | $985.42 | $4,981.89 | |
AllWays Health Partners
| Facility | AS | $75.92 | $75.92 | $150.72 |
Fallon Health
| Facility | $300.00 | $494.16 | $8,090.00 | |
Health New England
| Facility | $749.58 | $749.58 | $1,279.66 | |
Mass General Brigham
| Facility | $627.00 | $2,217.00 | $5,000.00 | |
Mass General Brigham
| Facility | AS | $75.92 | $75.92 | $150.72 |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |