| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $219.85 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $216.84 | $966.90 | $4,256.00 | |
AllWays Health Partners
| Facility | 62 | $876.02 | $876.02 | $876.02 |
AllWays Health Partners
| Facility | AS | $140.16 | $140.16 | $140.16 |
Fallon Health
| Facility | $191.64 | $303.00 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $2,446.00 | $5,876.00 | |
Mass General Brigham
| Facility | 62 | $876.02 | $876.02 | $876.02 |
Mass General Brigham
| Facility | AS | $140.16 | $140.16 | $140.16 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |