| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.50 | $1,820.00 | $7,625.00 | |
AllWays Health Partners
| Facility | $1,606.62 | $5,508.58 | $19,078.05 | |
AllWays Health Partners
| Facility | AS | $182.62 | $182.62 | $2,568.08 |
Fallon Health
| Facility | $715.03 | $1,546.14 | $6,679.00 | |
Health New England
| Facility | $71.18 | $4,465.67 | $18,062.83 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $182.62 | $182.62 | $2,568.08 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |