| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,421.00 | $2,663.12 | $4,767.00 | |
AllWays Health Partners
| Facility | $1,869.62 | $6,280.00 | $16,394.00 | |
AllWays Health Partners
| Facility | 62 | $1,279.17 | $1,279.17 | $10,381.59 |
AllWays Health Partners
| Facility | AS | $204.67 | $204.67 | $1,661.06 |
Fallon Health
| Facility | $831.81 | $1,797.80 | $6,679.00 | |
Mass General Brigham
| Facility | $2,324.00 | $7,250.00 | $16,394.00 | |
Mass General Brigham
| Facility | 62 | $1,279.17 | $1,279.17 | $10,381.59 |
Mass General Brigham
| Facility | AS | $204.67 | $204.67 | $1,661.06 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |