| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $551.46 | $2,067.00 | $3,693.00 | |
AllWays Health Partners
| Facility | $1,429.10 | $4,402.00 | $12,124.49 | |
AllWays Health Partners
| Facility | AS | $160.83 | $160.83 | $1,887.52 |
Fallon Health
| Facility | $630.59 | $1,349.66 | $6,679.00 | |
Health New England
| Facility | $1,813.34 | $1,813.34 | $9,405.95 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $12,000.00 | |
Mass General Brigham
| Facility | AS | $160.83 | $160.83 | $1,887.52 |
United
| Facility | $2,155.00 | $6,104.00 | $20,669.54 |