| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,421.00 | $2,663.12 | $4,779.62 | |
AllWays Health Partners
| Facility | $1,396.44 | $4,402.00 | $15,220.00 | |
AllWays Health Partners
| Facility | AS | $158.81 | $158.81 | $1,887.52 |
Fallon Health
| Facility | $620.28 | $1,340.98 | $6,679.00 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $16,394.00 | |
Mass General Brigham
| Facility | AS | $158.81 | $158.81 | $1,887.52 |
United
| Facility | $2,155.00 | $6,104.00 | $20,669.54 |