| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,893.97 | $2,747.00 | $5,319.00 | |
AllWays Health Partners
| Facility | $1,939.00 | $5,097.00 | $15,685.47 | |
AllWays Health Partners
| Facility | 52 | $3,816.84 | $3,816.84 | $7,402.14 |
AllWays Health Partners
| Facility | AS | $477.11 | $477.11 | $925.27 |
Fallon Health
| Facility | $300.00 | $2,867.00 | $8,090.00 | |
Mass General Brigham
| Facility | $2,324.00 | $7,027.00 | $15,685.47 | |
Mass General Brigham
| Facility | 52 | $3,816.84 | $3,816.84 | $7,402.14 |
Mass General Brigham
| Facility | AS | $477.11 | $477.11 | $925.27 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |