| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,099.22 | $2,537.00 | $4,712.00 | |
AllWays Health Partners
| Facility | $1,697.00 | $4,254.00 | $13,940.55 | |
AllWays Health Partners
| Facility | AS | $193.64 | $193.64 | $1,887.52 |
Fallon Health
| Facility | $759.68 | $1,642.88 | $6,679.00 | |
Health New England
| Facility | $4,206.72 | $4,341.72 | $8,167.96 | |
Mass General Brigham
| Facility | $2,000.00 | $5,097.00 | $15,421.00 | |
Mass General Brigham
| Facility | AS | $193.64 | $193.64 | $1,887.52 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |