| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $5,481.22 | |
AllWays Health Partners
| Facility | $701.82 | $2,575.00 | $5,368.00 | |
AllWays Health Partners
| Facility | AS | $108.42 | $108.42 | $380.79 |
Fallon Health
| Facility | $424.46 | $920.54 | $6,679.00 | |
Health New England
| Facility | $2,647.40 | $3,050.05 | $3,863.50 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $9,039.00 | |
Mass General Brigham
| Facility | AS | $108.42 | $108.42 | $380.79 |
United
| Facility | $1,902.00 | $3,997.00 | $8,766.00 |