| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $818.35 | $2,854.00 | $5,737.16 | |
AllWays Health Partners
| Facility | AS | $176.86 | $176.86 | $646.16 |
Fallon Health
| Facility | $696.36 | $1,501.60 | $6,679.00 | |
Health New England
| Facility | $2,078.89 | $2,078.89 | $2,078.89 | |
Mass General Brigham
| Facility | $55.00 | $3,764.00 | $9,039.00 | |
Mass General Brigham
| Facility | AS | $176.86 | $176.86 | $646.16 |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |