| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $659.00 | $2,094.00 | $3,685.00 | |
AllWays Health Partners
| Facility | $254.07 | $818.35 | $2,796.00 | |
AllWays Health Partners
| Facility | AS | $54.80 | $54.80 | $109.83 |
Fallon Health
| Facility | $214.32 | $338.90 | $6,679.00 | |
Health New England
| Facility | $24,924.70 | $24,924.70 | $24,924.70 | |
Mass General Brigham
| Facility | $55.00 | $1,098.30 | $3,445.00 | |
Mass General Brigham
| Facility | AS | $54.80 | $54.80 | $109.83 |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |