| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $727.39 | $2,723.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $1,128.63 | $4,402.00 | $9,401.00 | |
AllWays Health Partners
| Facility | AS | $128.55 | $128.55 | $849.00 |
Fallon Health
| Facility | $504.17 | $1,093.28 | $6,679.00 | |
Health New England
| Facility | $2,019.61 | $3,863.50 | $5,785.53 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $33,500.00 | |
Mass General Brigham
| Facility | AS | $128.55 | $128.55 | $849.00 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |