| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,058.91 | $2,671.00 | $5,894.30 | |
AllWays Health Partners
| Facility | $1,591.00 | $4,916.00 | $16,742.00 | |
AllWays Health Partners
| Facility | AS | $186.66 | $186.66 | $2,387.48 |
Fallon Health
| Facility | $724.27 | $1,562.04 | $6,679.00 | |
Health New England
| Facility | $3,703.84 | $4,115.38 | $15,173.78 | |
Mass General Brigham
| Facility | $2,324.00 | $5,097.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $186.66 | $186.66 | $2,387.48 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |