| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,749.00 | $2,955.00 | $7,203.00 | |
AllWays Health Partners
| Facility | $2,342.00 | $6,474.00 | $36,845.80 | |
AllWays Health Partners
| Facility | 62 | $2,353.94 | $2,353.94 | $4,653.54 |
AllWays Health Partners
| Facility | AS | $376.63 | $376.63 | $744.57 |
Fallon Health
| Facility | $300.00 | $2,370.48 | $8,090.00 | |
Health New England
| Facility | $1,931.75 | $1,931.75 | $6,052.98 | |
Mass General Brigham
| Facility | $2,485.00 | $7,292.00 | $17,462.00 | |
Mass General Brigham
| Facility | 62 | $2,353.94 | $2,353.94 | $4,653.54 |
Mass General Brigham
| Facility | AS | $376.63 | $376.63 | $744.57 |
United
| Facility | $2,485.00 | $6,474.00 | $13,737.00 |