| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,015.00 | $2,733.00 | $4,806.64 | |
AllWays Health Partners
| Facility | $1,697.00 | $5,508.58 | $25,526.57 | |
AllWays Health Partners
| Facility | AS | $215.38 | $215.38 | $4,562.51 |
Fallon Health
| Facility | $844.04 | $1,825.90 | $6,679.00 | |
Health New England
| Facility | $4,012.19 | $4,012.19 | $4,012.19 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $215.38 | $215.38 | $4,562.51 |
United
| Facility | $2,386.00 | $6,883.00 | $15,421.00 |