| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $659.00 | $2,094.00 | $3,685.00 | |
AllWays Health Partners
| Facility | $526.40 | $1,818.00 | $5,000.00 | |
AllWays Health Partners
| Facility | AS | $79.78 | $79.78 | $157.94 |
Fallon Health
| Facility | $214.32 | $484.32 | $6,679.00 | |
Mass General Brigham
| Facility | $627.00 | $2,217.00 | $5,000.00 | |
Mass General Brigham
| Facility | AS | $79.78 | $79.78 | $157.94 |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |