| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,094.00 | $3,685.00 | |
AllWays Health Partners
| Facility | $129.62 | $736.00 | $2,796.00 | |
AllWays Health Partners
| Facility | 62 | $347.22 | $347.22 | $347.22 |
AllWays Health Partners
| Facility | AS | $55.56 | $55.56 | $55.56 |
Fallon Health
| Facility | $114.85 | $241.94 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $1,078.00 | $3,445.00 | |
Mass General Brigham
| Facility | 62 | $347.22 | $347.22 | $347.22 |
Mass General Brigham
| Facility | AS | $55.56 | $55.56 | $55.56 |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |