| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,618.00 | $3,111.85 | $8,272.00 | |
AllWays Health Partners
| Facility | $1,618.40 | $5,097.00 | $16,742.00 | |
AllWays Health Partners
| Facility | AS | $249.83 | $249.83 | $1,887.52 |
Fallon Health
| Facility | $980.23 | $1,909.00 | $7,315.92 | |
Health New England
| Facility | $14,959.10 | $14,959.10 | $14,959.10 | |
Mass General Brigham
| Facility | $2,324.00 | $5,495.16 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $249.83 | $249.83 | $1,887.52 |
United
| Facility | $2,324.00 | $6,280.00 | $20,669.54 |