| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $6,610.00 | |
AllWays Health Partners
| Facility | $1,939.00 | $6,280.00 | $15,214.55 | |
AllWays Health Partners
| Facility | AS | $1,442.13 | $1,442.13 | $1,442.13 |
Fallon Health
| Facility | $1,168.36 | $1,909.00 | $6,679.00 | |
Health New England
| Facility | $3,863.50 | $10,381.53 | $25,559.94 | |
Mass General Brigham
| Facility | $2,324.00 | $7,027.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $1,442.13 | $1,442.13 | $1,442.13 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |