| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,663.12 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $789.00 | $3,466.00 | $15,335.29 | |
AllWays Health Partners
| Facility | 62 | $14,083.43 | $14,083.43 | $14,083.43 |
AllWays Health Partners
| Facility | AS | $2,253.35 | $2,253.35 | $2,253.35 |
Fallon Health
| Facility | $300.00 | $5,733.00 | $9,239.00 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $41,732.00 | |
Mass General Brigham
| Facility | 62 | $14,083.43 | $14,083.43 | $14,083.43 |
Mass General Brigham
| Facility | AS | $2,253.35 | $2,253.35 | $2,253.35 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |