| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,894.00 | $6,107.00 | |
AllWays Health Partners
| Facility | $55.00 | $5,904.00 | $15,421.00 | |
AllWays Health Partners
| Facility | AS | $262.95 | $262.95 | $7,575.71 |
Fallon Health
| Facility | $1,050.23 | $1,909.00 | $7,315.92 | |
Mass General Brigham
| Facility | $55.00 | $5,904.00 | $15,421.00 | |
Mass General Brigham
| Facility | AS | $262.95 | $262.95 | $7,575.71 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |