| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,663.12 | $4,297.00 | $11,179.53 | |
AllWays Health Partners
| Facility | $2,031.77 | $5,897.00 | $14,018.00 | |
AllWays Health Partners
| Facility | AS | $230.52 | $230.52 | $1,537.78 |
Fallon Health
| Facility | $903.45 | $1,909.00 | $6,679.00 | |
Health New England
| Facility | $4,894.47 | $5,007.84 | $5,949.06 | |
Mass General Brigham
| Facility | $2,386.00 | $5,971.49 | $15,421.00 | |
Mass General Brigham
| Facility | AS | $230.52 | $230.52 | $1,537.78 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |