| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,894.00 | $6,107.00 | |
AllWays Health Partners
| Facility | $818.35 | $3,728.00 | $9,967.00 | |
AllWays Health Partners
| Facility | AS | $193.04 | $193.04 | $376.31 |
Fallon Health
| Facility | $752.41 | $1,614.28 | $6,679.00 | |
Health New England
| Facility | $2,172.52 | $2,172.52 | $2,172.52 | |
Mass General Brigham
| Facility | $55.00 | $4,939.27 | $12,850.00 | |
Mass General Brigham
| Facility | AS | $193.04 | $193.04 | $376.31 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |