| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,525.00 | $2,940.52 | $6,290.22 | |
AllWays Health Partners
| Facility | $1,591.00 | $4,916.00 | $12,850.00 | |
AllWays Health Partners
| Facility | AS | $207.44 | $207.44 | $849.00 |
Fallon Health
| Facility | $811.75 | $1,759.52 | $6,679.00 | |
Health New England
| Facility | $2,273.04 | $5,949.06 | $8,131.51 | |
Mass General Brigham
| Facility | $2,324.00 | $5,097.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $207.44 | $207.44 | $849.00 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |