| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,085.84 | $3,107.00 | $8,317.00 | |
AllWays Health Partners
| Facility | $1,591.00 | $4,916.00 | $16,742.00 | |
AllWays Health Partners
| Facility | AS | $191.36 | $191.36 | $1,887.52 |
Fallon Health
| Facility | $750.64 | $1,623.58 | $7,315.92 | |
Health New England
| Facility | $4,436.96 | $4,436.96 | $13,195.50 | |
Mass General Brigham
| Facility | $2,324.00 | $5,097.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $191.36 | $191.36 | $1,887.52 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |