| 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 | $308.00 | $947.00 | $2,796.00 | |
AllWays Health Partners
| Facility | AS | $32.54 | $32.54 | $63.40 |
Fallon Health
| Facility | $131.38 | $300.00 | $6,679.00 | |
Mass General Brigham
| Facility | $325.51 | $1,856.00 | $4,044.74 | |
Mass General Brigham
| Facility | AS | $32.54 | $32.54 | $63.40 |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |