| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $2,747.00 | $5,062.66 | |
AllWays Health Partners
| Facility | $1,662.32 | $5,897.00 | $14,018.00 | |
AllWays Health Partners
| Facility | AS | $178.81 | $178.81 | $1,537.78 |
Fallon Health
| Facility | $701.32 | $1,505.28 | $6,679.00 | |
Health New England
| Facility | $3,274.02 | $3,274.02 | $3,274.02 | |
Mass General Brigham
| Facility | $2,386.00 | $5,897.00 | $15,421.00 | |
Mass General Brigham
| Facility | AS | $178.81 | $178.81 | $1,537.78 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |