| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,511.16 | $2,618.00 | $4,806.64 | |
AllWays Health Partners
| Facility | $1,731.66 | $5,508.58 | $19,078.05 | |
AllWays Health Partners
| Facility | AS | $268.62 | $268.62 | $1,887.52 |
Fallon Health
| Facility | $1,046.39 | $1,909.00 | $6,679.00 | |
Health New England
| Facility | $1,931.75 | $1,931.75 | $4,115.38 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $268.62 | $268.62 | $1,887.52 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |