| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $958.64 | $2,663.12 | $6,515.00 | |
AllWays Health Partners
| Facility | $1,489.31 | $5,508.58 | $19,078.05 | |
AllWays Health Partners
| Facility | AS | $169.67 | $169.67 | $2,425.91 |
Fallon Health
| Facility | $665.14 | $1,443.32 | $6,679.00 | |
Health New England
| Facility | $1,931.75 | $4,341.72 | $8,647.79 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $169.67 | $169.67 | $2,425.91 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |