| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,894.00 | $6,107.00 | |
AllWays Health Partners
| Facility | $1,697.00 | $6,078.00 | $16,726.16 | |
AllWays Health Partners
| Facility | 62 | $3,675.87 | $3,675.87 | $7,281.81 |
AllWays Health Partners
| Facility | AS | $588.14 | $588.14 | $1,165.08 |
Fallon Health
| Facility | $300.00 | $3,472.00 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $5,904.00 | $20,227.41 | |
Mass General Brigham
| Facility | 62 | $3,675.87 | $3,675.87 | $7,281.81 |
Mass General Brigham
| Facility | AS | $588.14 | $588.14 | $1,165.08 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |