| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $743.00 | $1,885.00 | $4,767.00 | |
AllWays Health Partners
| Facility | $1,461.81 | $5,508.58 | $16,394.00 | |
AllWays Health Partners
| Facility | AS | $168.45 | $168.45 | $2,449.69 |
Fallon Health
| Facility | $300.00 | $1,058.49 | $8,090.00 | |
Health New England
| Facility | $2,647.40 | $2,647.40 | $3,050.05 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $16,394.00 | |
Mass General Brigham
| Facility | AS | $168.45 | $168.45 | $2,449.69 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |