| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.32 | $1,473.20 | $3,363.00 | |
AllWays Health Partners
| Facility | $107.09 | $941.10 | $4,142.00 | |
AllWays Health Partners
| Facility | AS | $21.21 | $21.21 | $21.21 |
BCBS
| Facility | $50.26 | $65.34 | $115.30 | |
Fallon Health
| Facility | $51.66 | $300.00 | $6,679.00 | |
Mass General Brigham
| Facility | $212.14 | $1,818.00 | $12,000.00 | |
Mass General Brigham
| Facility | AS | $21.21 | $21.21 | $21.21 |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |