| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,094.00 | $3,685.00 | |
AllWays Health Partners
| Facility | $502.00 | $947.00 | $2,733.00 | |
AllWays Health Partners
| Facility | AS | $66.90 | $66.90 | $132.77 |
Fallon Health
| Facility | $276.70 | $580.34 | $6,679.00 | |
Mass General Brigham
| Facility | $627.00 | $1,856.00 | $3,445.00 | |
Mass General Brigham
| Facility | AS | $66.90 | $66.90 | $132.77 |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |