| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,618.00 | $3,111.85 | $8,272.00 | |
AllWays Health Partners
| Facility | $1,387.82 | $6,883.00 | $26,542.00 | |
AllWays Health Partners
| Facility | AS | $1,618.01 | $1,618.01 | $1,618.01 |
Fallon Health
| Facility | $585.90 | $1,246.32 | $6,679.00 | |
Health New England
| Facility | $5,997.75 | $5,997.75 | $5,997.75 | |
Mass General Brigham
| Facility | $2,386.00 | $7,292.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $1,618.01 | $1,618.01 | $1,618.01 |
United
| Facility | $2,386.00 | $6,883.00 | $15,421.00 |