| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,131.30 | $2,894.76 | $7,625.00 | |
AllWays Health Partners
| Facility | $1,849.74 | $5,904.00 | $17,998.22 | |
AllWays Health Partners
| Facility | AS | $210.48 | $210.48 | $2,632.21 |
Fallon Health
| Facility | $817.44 | $1,747.32 | $6,679.00 | |
Health New England
| Facility | $10,649.19 | $10,649.19 | $26,963.50 | |
Mass General Brigham
| Facility | $2,386.00 | $6,883.00 | $15,421.00 | |
Mass General Brigham
| Facility | AS | $210.48 | $210.48 | $2,632.21 |
United
| Facility | $2,386.00 | $6,883.00 | $15,421.00 |