| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,663.12 | $3,111.85 | $8,331.00 | |
AllWays Health Partners
| Facility | $1,939.00 | $5,897.00 | $12,850.00 | |
AllWays Health Partners
| Facility | AS | $331.24 | $331.24 | $1,324.34 |
Fallon Health
| Facility | $1,295.84 | $2,079.59 | $6,679.00 | |
Health New England
| Facility | $4,701.33 | $4,701.33 | $5,142.85 | |
Mass General Brigham
| Facility | $2,324.00 | $5,897.00 | $13,773.00 | |
Mass General Brigham
| Facility | AS | $331.24 | $331.24 | $1,324.34 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |