| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,733.00 | $4,806.64 | |
AllWays Health Partners
| Facility | $1,672.00 | $4,402.00 | $25,526.57 | |
AllWays Health Partners
| Facility | AS | $290.61 | $290.61 | $4,526.82 |
Fallon Health
| Facility | $1,134.38 | $1,909.00 | $6,679.00 | |
Health New England
| Facility | $1,574.58 | $1,574.58 | $2,946.74 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $290.61 | $290.61 | $4,526.82 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |