| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,663.12 | $3,111.85 | $8,272.00 | |
AllWays Health Partners
| Facility | $1,485.00 | $4,402.00 | $11,272.00 | |
AllWays Health Partners
| Facility | AS | $215.73 | $215.73 | $1,097.25 |
Fallon Health
| Facility | $844.78 | $1,845.64 | $7,315.92 | |
Health New England
| Facility | $6,134.64 | $6,134.64 | $6,691.03 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $215.73 | $215.73 | $1,097.25 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |