| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $6,515.00 | |
AllWays Health Partners
| Facility | $2,091.23 | $7,425.00 | $62,803.39 | |
AllWays Health Partners
| Facility | AS | $218.15 | $218.15 | $14,133.93 |
Fallon Health
| Facility | $884.56 | $1,811.48 | $6,679.00 | |
Health New England
| Facility | $2,743.97 | $2,743.97 | $3,050.04 | |
Mass General Brigham
| Facility | $2,678.00 | $8,289.00 | $50,835.00 | |
Mass General Brigham
| Facility | AS | $218.15 | $218.15 | $14,133.93 |
United
| Facility | $2,678.00 | $7,291.00 | $18,076.00 |