| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $11,883.34 | |
AllWays Health Partners
| Facility | $1,591.00 | $4,916.00 | $16,742.00 | |
AllWays Health Partners
| Facility | AS | $199.19 | $199.19 | $1,887.52 |
Fallon Health
| Facility | $780.18 | $1,685.78 | $6,679.00 | |
Health New England
| Facility | $5,077.62 | $5,654.89 | $6,933.27 | |
Mass General Brigham
| Facility | $2,324.00 | $5,097.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $199.19 | $199.19 | $1,887.52 |
United
| Facility | $2,324.00 | $6,204.00 | $13,284.00 |