| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $710.96 | $2,703.00 | $5,011.00 | |
AllWays Health Partners
| Facility | $1,061.00 | $3,715.00 | $9,039.00 | |
AllWays Health Partners
| Facility | AS | $126.66 | $126.66 | $849.00 |
Fallon Health
| Facility | $495.92 | $1,080.88 | $6,679.00 | |
Health New England
| Facility | $929.54 | $4,465.67 | $6,891.78 | |
Mass General Brigham
| Facility | $1,830.20 | $3,997.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $126.66 | $126.66 | $849.00 |
United
| Facility | $1,700.00 | $4,249.00 | $9,821.00 |