| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,921.44 | $6,729.05 | |
AllWays Health Partners
| Facility | $1,672.00 | $5,268.00 | $15,220.00 | |
AllWays Health Partners
| Facility | AS | $197.65 | $197.65 | $1,196.53 |
Fallon Health
| Facility | $767.34 | $1,640.52 | $6,679.00 | |
Health New England
| Facility | $1,766.09 | $5,163.68 | $9,426.83 | |
Mass General Brigham
| Facility | $2,155.00 | $6,104.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $197.65 | $197.65 | $1,196.53 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |