| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,053.63 | $2,663.12 | $4,806.64 | |
AllWays Health Partners
| Facility | $1,634.05 | $5,508.58 | $19,078.05 | |
AllWays Health Partners
| Facility | AS | $186.87 | $186.87 | $1,887.52 |
Fallon Health
| Facility | $730.99 | $1,583.00 | $6,679.00 | |
Health New England
| Facility | $3,954.14 | $5,981.16 | $8,193.82 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $186.87 | $186.87 | $1,887.52 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |