| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $2,747.00 | $5,039.00 | |
AllWays Health Partners
| Facility | $2,000.00 | $6,583.17 | $16,726.16 | |
AllWays Health Partners
| Facility | 62 | $4,307.78 | $4,307.78 | $8,335.36 |
Fallon Health
| Facility | $1,909.00 | $3,504.00 | $6,679.00 | |
Mass General Brigham
| Facility | $2,000.00 | $5,063.00 | $22,468.59 | |
Mass General Brigham
| Facility | 62 | $4,307.78 | $4,307.78 | $8,335.36 |
United
| Facility | $1,855.74 | $4,751.20 | $10,764.00 |