| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $5,908.20 | |
AllWays Health Partners
| Facility | $1,538.92 | $5,508.58 | $19,078.05 | |
AllWays Health Partners
| Facility | AS | $175.82 | $175.82 | $2,581.44 |
Fallon Health
| Facility | $689.41 | $1,495.12 | $6,679.00 | |
Health New England
| Facility | $12,891.27 | $12,891.27 | $12,891.27 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $175.82 | $175.82 | $2,581.44 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |