| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.96 | $1,886.00 | $3,625.00 | |
AllWays Health Partners
| Facility | $250.09 | $818.35 | $2,796.00 | |
AllWays Health Partners
| Facility | AS | $54.66 | $54.66 | $108.73 |
Fallon Health
| Facility | $214.32 | $334.13 | $6,679.00 | |
Health New England
| Facility | $749.58 | $749.58 | $787.99 | |
Mass General Brigham
| Facility | $55.00 | $1,087.32 | $3,445.00 | |
Mass General Brigham
| Facility | AS | $54.66 | $54.66 | $108.73 |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |