| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,485.00 | $2,663.12 | $3,693.00 | |
AllWays Health Partners
| Facility | $55.00 | $5,097.00 | $15,421.00 | |
AllWays Health Partners
| Facility | AS | $112.50 | $112.50 | $5,848.03 |
Fallon Health
| Facility | $430.75 | $923.84 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $5,097.00 | $15,421.00 | |
Mass General Brigham
| Facility | AS | $112.50 | $112.50 | $5,848.03 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |