| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,894.00 | $6,107.00 | |
AllWays Health Partners
| Facility | $1,697.00 | $5,415.94 | $16,726.16 | |
AllWays Health Partners
| Facility | AS | $402.80 | $402.80 | $803.80 |
Fallon Health
| Facility | $300.00 | $2,548.05 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $5,904.00 | $16,899.30 | |
Mass General Brigham
| Facility | AS | $402.80 | $402.80 | $803.80 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |