| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $886.00 | $2,670.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $941.10 | $4,006.00 | $12,850.00 | |
AllWays Health Partners
| Facility | AS | $228.14 | $228.14 | $2,454.02 |
Fallon Health
| Facility | $892.84 | $1,909.00 | $6,679.00 | |
Health New England
| Facility | $6,018.91 | $6,018.91 | $6,018.91 | |
Mass General Brigham
| Facility | $55.00 | $4,916.00 | $13,773.00 | |
Mass General Brigham
| Facility | AS | $228.14 | $228.14 | $2,454.02 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |