| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,421.00 | $2,663.12 | $3,693.00 | |
AllWays Health Partners
| Facility | $1,746.15 | $6,474.00 | $19,245.00 | |
AllWays Health Partners
| Facility | AS | $193.68 | $193.68 | $5,739.78 |
Fallon Health
| Facility | $744.18 | $1,587.66 | $6,679.00 | |
Health New England
| Facility | $2,941.55 | $2,941.55 | $2,941.55 | |
Mass General Brigham
| Facility | $2,485.00 | $7,292.00 | $20,362.00 | |
Mass General Brigham
| Facility | AS | $193.68 | $193.68 | $5,739.78 |
United
| Facility | $2,485.00 | $6,898.00 | $25,809.00 |