| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,015.00 | $2,747.00 | $4,872.10 | |
AllWays Health Partners
| Facility | $818.35 | $2,607.64 | $5,737.16 | |
AllWays Health Partners
| Facility | AS | $176.07 | $176.07 | $646.16 |
Fallon Health
| Facility | $693.27 | $1,494.64 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $9,039.00 | |
Mass General Brigham
| Facility | AS | $176.07 | $176.07 | $646.16 |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |