| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,470.03 | $3,107.00 | $9,895.29 | |
AllWays Health Partners
| Facility | $1,697.00 | $5,508.58 | $19,078.05 | |
AllWays Health Partners
| Facility | AS | $214.46 | $214.46 | $2,561.40 |
Fallon Health
| Facility | $840.02 | $1,819.38 | $6,679.00 | |
Health New England
| Facility | $3,863.50 | $5,421.11 | $10,596.50 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $214.46 | $214.46 | $2,561.40 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |