| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,618.00 | $3,111.85 | $8,272.00 | |
AllWays Health Partners
| Facility | $1,672.00 | $5,572.00 | $13,923.70 | |
AllWays Health Partners
| Facility | AS | $258.23 | $258.23 | $500.32 |
Fallon Health
| Facility | $300.00 | $1,610.19 | $8,090.00 | |
Health New England
| Facility | $2,956.41 | $5,302.36 | $15,336.48 | |
Mass General Brigham
| Facility | $2,155.00 | $6,261.00 | $21,000.00 | |
Mass General Brigham
| Facility | AS | $258.23 | $258.23 | $500.32 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |