| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,733.00 | $4,712.00 | |
AllWays Health Partners
| Facility | $1,902.00 | $5,029.84 | $12,379.00 | |
AllWays Health Partners
| Facility | 62 | $6,951.51 | $6,951.51 | $6,951.51 |
Fallon Health
| Facility | $1,909.00 | $3,334.44 | $6,679.00 | |
Mass General Brigham
| Facility | $1,902.00 | $4,249.00 | $12,811.25 | |
Mass General Brigham
| Facility | 62 | $6,951.51 | $6,951.51 | $6,951.51 |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |