| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $948.58 | $2,723.00 | $5,011.00 | |
AllWays Health Partners
| Facility | $1,492.59 | $4,916.00 | $16,742.00 | |
AllWays Health Partners
| Facility | AS | $168.58 | $168.58 | $2,515.96 |
Fallon Health
| Facility | $660.52 | $1,437.90 | $6,679.00 | |
Mass General Brigham
| Facility | $2,324.00 | $5,097.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $168.58 | $168.58 | $2,515.96 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |