| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,446.57 | $2,669.00 | $5,039.00 | |
AllWays Health Partners
| Facility | $1,697.00 | $5,508.58 | $25,526.57 | |
AllWays Health Partners
| Facility | AS | $254.28 | $254.28 | $4,740.35 |
Fallon Health
| Facility | $997.38 | $1,909.00 | $6,679.00 | |
Health New England
| Facility | $4,959.89 | $5,425.71 | $11,983.74 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $254.28 | $254.28 | $4,740.35 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |