| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,423.00 | $2,890.12 | $6,107.00 | |
AllWays Health Partners
| Facility | $818.35 | $4,529.42 | $15,147.95 | |
AllWays Health Partners
| Facility | AS | $177.57 | $177.57 | $1,678.13 |
Fallon Health
| Facility | $689.89 | $1,476.68 | $6,679.00 | |
Health New England
| Facility | $4,115.38 | $4,115.38 | $4,115.38 | |
Mass General Brigham
| Facility | $55.00 | $4,916.00 | $13,773.00 | |
Mass General Brigham
| Facility | AS | $177.57 | $177.57 | $1,678.13 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |