| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $2,747.00 | $5,039.00 | |
AllWays Health Partners
| Facility | $1,061.00 | $3,715.00 | $9,039.00 | |
AllWays Health Partners
| Facility | AS | $127.18 | $127.18 | $849.00 |
Fallon Health
| Facility | $499.02 | $1,084.11 | $6,679.00 | |
Health New England
| Facility | $10,155.24 | $10,155.24 | $10,155.24 | |
Mass General Brigham
| Facility | $1,902.00 | $3,997.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $127.18 | $127.18 | $849.00 |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |