| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,575.00 | $3,490.66 | $7,625.00 | |
AllWays Health Partners
| Facility | $1,056.07 | $5,097.00 | $28,594.87 | |
AllWays Health Partners
| Facility | AS | $246.06 | $246.06 | $7,997.44 |
Fallon Health
| Facility | $960.70 | $1,909.00 | $7,315.92 | |
Health New England
| Facility | $5,737.42 | $5,737.42 | $5,737.42 | |
Mass General Brigham
| Facility | $55.00 | $5,904.00 | $15,421.00 | |
Mass General Brigham
| Facility | AS | $246.06 | $246.06 | $7,997.44 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |