| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $5,552.40 | |
AllWays Health Partners
| Facility | $1,697.00 | $5,508.58 | $19,078.05 | |
AllWays Health Partners
| Facility | AS | $251.87 | $251.87 | $2,431.29 |
Fallon Health
| Facility | $985.74 | $1,909.00 | $6,679.00 | |
Health New England
| Facility | $3,359.84 | $4,501.87 | $15,220.02 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $251.87 | $251.87 | $2,431.29 |
United
| Facility | $2,386.00 | $6,883.00 | $15,421.00 |