| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,010.19 | $2,547.00 | $3,625.00 | |
AllWays Health Partners
| Facility | $1,485.00 | $4,402.00 | $9,401.00 | |
AllWays Health Partners
| Facility | AS | $178.12 | $178.12 | $849.00 |
Fallon Health
| Facility | $698.74 | $1,512.32 | $6,679.00 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $16,394.00 | |
Mass General Brigham
| Facility | AS | $178.12 | $178.12 | $849.00 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |