| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $879.00 | $2,447.48 | $4,355.00 | |
AllWays Health Partners
| Facility | $818.35 | $2,609.40 | $6,509.88 | |
AllWays Health Partners
| Facility | AS | $182.01 | $182.01 | $736.98 |
Fallon Health
| Facility | $699.12 | $1,490.44 | $6,679.00 | |
Health New England
| Facility | $4,341.72 | $4,341.72 | $4,341.72 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $9,039.00 | |
Mass General Brigham
| Facility | AS | $182.01 | $182.01 | $736.98 |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |