| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,096.25 | $3,693.00 | |
AllWays Health Partners
| Facility | $818.35 | $1,931.37 | $5,000.00 | |
AllWays Health Partners
| Facility | 62 | $1,219.83 | $1,219.83 | $2,412.19 |
AllWays Health Partners
| Facility | AS | $195.17 | $195.17 | $385.95 |
Fallon Health
| Facility | $300.00 | $1,262.25 | $8,090.00 | |
Mass General Brigham
| Facility | $627.00 | $2,217.00 | $10,679.76 | |
Mass General Brigham
| Facility | 62 | $1,219.83 | $1,219.83 | $2,412.19 |
Mass General Brigham
| Facility | AS | $195.17 | $195.17 | $385.95 |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |