| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $907.18 | $2,669.00 | $5,715.50 | |
AllWays Health Partners
| Facility | $1,406.65 | $4,402.00 | $9,401.00 | |
AllWays Health Partners
| Facility | AS | $160.28 | $160.28 | $849.00 |
Fallon Health
| Facility | $628.26 | $1,360.58 | $6,679.00 | |
Health New England
| Facility | $0.43 | $5,142.85 | $10,295.66 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $160.28 | $160.28 | $849.00 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |