| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $4,712.00 | |
AllWays Health Partners
| Facility | $1,591.00 | $4,916.00 | $16,742.00 | |
AllWays Health Partners
| Facility | AS | $206.69 | $206.69 | $2,537.14 |
Fallon Health
| Facility | $808.84 | $1,747.58 | $6,679.00 | |
Health New England
| Facility | $4,705.49 | $4,705.49 | $4,705.49 | |
Mass General Brigham
| Facility | $2,324.00 | $5,097.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $206.69 | $206.69 | $2,537.14 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |