| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $879.00 | $2,185.00 | $4,382.16 | |
AllWays Health Partners
| Facility | $1,417.99 | $4,402.00 | $9,401.00 | |
AllWays Health Partners
| Facility | AS | $185.49 | $185.49 | $849.00 |
Fallon Health
| Facility | $726.02 | $1,576.38 | $6,679.00 | |
Health New England
| Facility | $562.58 | $4,056.86 | $4,320.31 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $185.49 | $185.49 | $849.00 |
United
| Facility | $1,850.00 | $5,572.00 | $11,272.00 |