| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $368.30 | $2,079.00 | $3,625.00 | |
AllWays Health Partners
| Facility | $502.00 | $1,818.00 | $5,000.00 | |
AllWays Health Partners
| Facility | 62 | $342.53 | $342.53 | $676.58 |
AllWays Health Partners
| Facility | AS | $54.80 | $54.80 | $108.25 |
Fallon Health
| Facility | $220.62 | $353.81 | $8,090.00 | |
Mass General Brigham
| Facility | $627.00 | $2,217.00 | $7,231.00 | |
Mass General Brigham
| Facility | 62 | $342.53 | $342.53 | $676.58 |
Mass General Brigham
| Facility | AS | $54.80 | $54.80 | $108.25 |
United
| Facility | $627.00 | $1,818.00 | $7,231.00 |