| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $752.75 | $2,663.12 | $6,235.00 | |
AllWays Health Partners
| Facility | $1,613.30 | $5,508.58 | $16,394.00 | |
AllWays Health Partners
| Facility | AS | $181.94 | $181.94 | $2,570.85 |
Fallon Health
| Facility | $711.55 | $1,545.10 | $6,679.00 | |
Health New England
| Facility | $827.28 | $2,940.47 | $10,132.12 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $16,394.00 | |
Mass General Brigham
| Facility | AS | $181.94 | $181.94 | $2,570.85 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |