| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.84 | $2,094.00 | $3,685.00 | |
AllWays Health Partners
| Facility | $1,193.80 | $4,254.00 | $11,763.36 | |
AllWays Health Partners
| Facility | AS | $180.10 | $180.10 | $356.45 |
Fallon Health
| Facility | $300.00 | $1,166.46 | $8,090.00 | |
Mass General Brigham
| Facility | $2,386.00 | $5,904.00 | $14,018.00 | |
Mass General Brigham
| Facility | AS | $180.10 | $180.10 | $356.45 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |