| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,618.00 | $3,111.85 | $9,007.00 | |
AllWays Health Partners
| Facility | $2,386.00 | $5,904.00 | $33,352.30 | |
AllWays Health Partners
| Facility | AS | $380.43 | $380.43 | $2,105.03 |
Fallon Health
| Facility | $300.00 | $2,307.50 | $8,090.00 | |
Health New England
| Facility | $5,101.49 | $22,114.16 | $28,048.90 | |
Mass General Brigham
| Facility | $2,386.00 | $7,331.00 | $15,421.00 | |
Mass General Brigham
| Facility | AS | $380.43 | $380.43 | $2,105.03 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |