| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $905.30 | $2,663.12 | $5,904.05 | |
AllWays Health Partners
| Facility | $1,402.98 | $4,402.00 | $9,401.00 | |
AllWays Health Partners
| Facility | AS | $159.91 | $159.91 | $849.00 |
Fallon Health
| Facility | $626.91 | $1,357.68 | $6,679.00 | |
Health New England
| Facility | $8,292.18 | $8,292.18 | $8,292.18 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $159.91 | $159.91 | $849.00 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |