| 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 | $1,658.20 | $5,097.00 | $15,421.00 | |
AllWays Health Partners
| Facility | 62 | $2,355.23 | $2,355.23 | $4,698.67 |
AllWays Health Partners
| Facility | AS | $376.84 | $376.84 | $751.79 |
Fallon Health
| Facility | $300.00 | $2,377.62 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $5,904.00 | $15,421.00 | |
Mass General Brigham
| Facility | 62 | $2,355.23 | $2,355.23 | $4,698.67 |
Mass General Brigham
| Facility | AS | $376.84 | $376.84 | $751.79 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |