| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $832.11 | $2,663.12 | $5,003.00 | |
AllWays Health Partners
| Facility | $1,291.64 | $4,402.00 | $9,401.00 | |
AllWays Health Partners
| Facility | AS | $147.63 | $147.63 | $849.00 |
Fallon Health
| Facility | $577.82 | $1,253.04 | $6,679.00 | |
Health New England
| Facility | $4,959.89 | $4,959.89 | $33,383.12 | |
Mass General Brigham
| Facility | $2,145.64 | $5,268.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $147.63 | $147.63 | $849.00 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |