| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,716.32 | $2,747.00 | $5,048.00 | |
AllWays Health Partners
| Facility | $1,309.80 | $4,287.00 | $12,124.49 | |
AllWays Health Partners
| Facility | AS | $303.31 | $303.31 | $1,887.52 |
Fallon Health
| Facility | $300.00 | $1,909.00 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $4,983.00 | $11,272.00 | |
Mass General Brigham
| Facility | AS | $303.31 | $303.31 | $1,887.52 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |