| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $2,747.00 | $5,039.00 | |
AllWays Health Partners
| Facility | $1,659.66 | $5,508.58 | $19,078.05 | |
AllWays Health Partners
| Facility | AS | $189.25 | $189.25 | $2,579.65 |
Fallon Health
| Facility | $740.54 | $1,601.80 | $6,679.00 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $189.25 | $189.25 | $2,579.65 |
United
| Facility | $2,386.00 | $6,883.00 | $15,421.00 |