| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.40 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $789.00 | $3,334.38 | $7,231.00 | |
AllWays Health Partners
| Facility | 62 | $4,286.25 | $4,286.25 | $4,286.25 |
AllWays Health Partners
| Facility | AS | $685.80 | $685.80 | $685.80 |
Fallon Health
| Facility | $1,399.47 | $2,230.94 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $21,543.36 | |
Mass General Brigham
| Facility | 62 | $4,286.25 | $4,286.25 | $4,286.25 |
Mass General Brigham
| Facility | AS | $685.80 | $685.80 | $685.80 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |