| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,175.79 | $2,900.00 | $7,190.00 | |
AllWays Health Partners
| Facility | $2,000.00 | $5,097.00 | $28,594.87 | |
AllWays Health Partners
| Facility | AS | $364.79 | $364.79 | $732.95 |
Fallon Health
| Facility | $1,470.17 | $2,322.87 | $6,679.00 | |
Mass General Brigham
| Facility | $2,000.00 | $5,904.00 | $15,173.82 | |
Mass General Brigham
| Facility | AS | $364.79 | $364.79 | $732.95 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |