| 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 | $1,697.00 | $5,097.00 | $13,940.55 | |
AllWays Health Partners
| Facility | AS | $194.76 | $194.76 | $1,887.52 |
Fallon Health
| Facility | $762.27 | $1,643.90 | $6,679.00 | |
Mass General Brigham
| Facility | $2,000.00 | $5,904.00 | $15,421.00 | |
Mass General Brigham
| Facility | AS | $194.76 | $194.76 | $1,887.52 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |