| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,561.20 | $2,894.76 | $6,107.00 | |
AllWays Health Partners
| Facility | $1,591.00 | $4,916.00 | $16,742.00 | |
AllWays Health Partners
| Facility | AS | $210.47 | $210.47 | $1,887.52 |
Fallon Health
| Facility | $824.90 | $1,783.04 | $6,679.00 | |
Health New England
| Facility | $1,575.81 | $1,575.81 | $1,575.81 | |
Mass General Brigham
| Facility | $2,324.00 | $5,097.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $210.47 | $210.47 | $1,887.52 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |