| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $2,747.00 | $9,119.64 | |
AllWays Health Partners
| Facility | $1,697.00 | $5,508.58 | $25,526.57 | |
AllWays Health Partners
| Facility | AS | $226.76 | $226.76 | $4,851.12 |
Fallon Health
| Facility | $888.90 | $1,909.00 | $6,679.00 | |
Health New England
| Facility | $3,151.62 | $4,701.33 | $27,330.02 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $226.76 | $226.76 | $4,851.12 |
United
| Facility | $2,386.00 | $7,292.00 | $37,228.62 |