| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,249.00 | $2,747.00 | $5,039.00 | |
AllWays Health Partners
| Facility | $818.35 | $5,097.00 | $14,547.21 | |
AllWays Health Partners
| Facility | AS | $166.38 | $166.38 | $325.02 |
Fallon Health
| Facility | $300.00 | $1,053.85 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $5,904.00 | $14,018.00 | |
Mass General Brigham
| Facility | AS | $166.38 | $166.38 | $325.02 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |