| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $849.50 | $2,663.12 | $5,374.06 | |
AllWays Health Partners
| Facility | $1,439.67 | $4,402.00 | $15,220.00 | |
AllWays Health Partners
| Facility | AS | $165.43 | $165.43 | $2,462.39 |
Fallon Health
| Facility | $642.27 | $1,383.30 | $6,679.00 | |
Health New England
| Facility | $2,509.38 | $2,788.20 | $13,558.78 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $16,394.00 | |
Mass General Brigham
| Facility | AS | $165.43 | $165.43 | $2,462.39 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |