| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,671.00 | $4,712.00 | |
AllWays Health Partners
| Facility | $1,228.98 | $4,402.00 | $9,401.00 | |
AllWays Health Partners
| Facility | AS | $139.11 | $139.11 | $849.00 |
Fallon Health
| Facility | $546.00 | $1,182.92 | $6,679.00 | |
Health New England
| Facility | $4,436.96 | $4,436.96 | $4,436.96 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $139.11 | $139.11 | $849.00 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |