| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,096.25 | $3,693.00 | |
AllWays Health Partners
| Facility | $73.45 | $941.10 | $2,796.00 | |
AllWays Health Partners
| Facility | AS | $16.85 | $16.85 | $33.18 |
Fallon Health
| Facility | $80.34 | $168.26 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $966.90 | $3,445.00 | |
Mass General Brigham
| Facility | AS | $16.85 | $16.85 | $33.18 |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |