| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,894.76 | $6,617.00 | |
AllWays Health Partners
| Facility | $1,939.00 | $5,897.00 | $12,850.00 | |
AllWays Health Partners
| Facility | AS | $273.85 | $273.85 | $1,568.44 |
Fallon Health
| Facility | $1,070.21 | $1,909.00 | $7,315.92 | |
Health New England
| Facility | $8,281.58 | $8,281.58 | $8,281.58 | |
Mass General Brigham
| Facility | $2,324.00 | $5,897.00 | $13,773.00 | |
Mass General Brigham
| Facility | AS | $273.85 | $273.85 | $1,568.44 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |