| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,256.38 | $2,940.52 | $9,380.45 | |
AllWays Health Partners
| Facility | $1,455.44 | $5,268.00 | $15,220.00 | |
AllWays Health Partners
| Facility | AS | $156.78 | $156.78 | $1,196.53 |
Fallon Health
| Facility | $608.83 | $1,304.59 | $6,679.00 | |
Health New England
| Facility | $4,436.96 | $4,894.47 | $5,949.06 | |
Mass General Brigham
| Facility | $2,155.00 | $6,104.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $156.78 | $156.78 | $1,196.53 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |