| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,096.25 | $4,088.00 | |
AllWays Health Partners
| Facility | $627.00 | $1,818.00 | $6,617.10 | |
AllWays Health Partners
| Facility | AS | $121.63 | $121.63 | $239.96 |
Fallon Health
| Facility | $300.00 | $783.72 | $8,090.00 | |
Health New England
| Facility | $1,931.75 | $1,931.75 | $1,931.75 | |
Mass General Brigham
| Facility | $627.00 | $2,217.00 | $6,617.10 | |
Mass General Brigham
| Facility | AS | $121.63 | $121.63 | $239.96 |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |