| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,749.00 | $2,955.00 | $7,203.00 | |
AllWays Health Partners
| Facility | $1,645.66 | $5,097.00 | $28,594.87 | |
AllWays Health Partners
| Facility | AS | $184.06 | $184.06 | $368.52 |
Fallon Health
| Facility | $300.00 | $1,194.75 | $8,090.00 | |
Mass General Brigham
| Facility | $2,386.00 | $5,904.00 | $14,018.00 | |
Mass General Brigham
| Facility | AS | $184.06 | $184.06 | $368.52 |
United
| Facility | $2,386.00 | $6,883.00 | $15,421.00 |