| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $661.00 | $2,336.26 | $4,806.64 | |
AllWays Health Partners
| Facility | $1,027.29 | $4,402.00 | $9,401.00 | |
AllWays Health Partners
| Facility | AS | $118.86 | $118.86 | $849.00 |
Fallon Health
| Facility | $461.06 | $996.40 | $6,679.00 | |
Health New England
| Facility | $1,656.87 | $4,232.85 | $7,072.60 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $118.86 | $118.86 | $849.00 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |