| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,540.00 | $2,894.76 | $8,281.41 | |
AllWays Health Partners
| Facility | $2,089.00 | $5,508.58 | $17,998.22 | |
AllWays Health Partners
| Facility | AS | $246.94 | $246.94 | $2,632.21 |
Fallon Health
| Facility | $300.00 | $1,531.91 | $8,090.00 | |
Health New England
| Facility | $3,907.56 | $4,749.47 | $19,861.48 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $15,421.00 | |
Mass General Brigham
| Facility | AS | $246.94 | $246.94 | $2,632.21 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |