| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,095.33 | $2,671.00 | $5,011.00 | |
AllWays Health Partners
| Facility | $1,485.00 | $4,402.00 | $15,220.00 | |
AllWays Health Partners
| Facility | AS | $193.00 | $193.00 | $1,887.52 |
Fallon Health
| Facility | $757.01 | $1,636.78 | $6,679.00 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $193.00 | $193.00 | $1,887.52 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |