| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $4,806.64 | |
AllWays Health Partners
| Facility | $818.35 | $2,575.00 | $5,368.00 | |
AllWays Health Partners
| Facility | AS | $142.76 | $142.76 | $380.79 |
Fallon Health
| Facility | $558.71 | $1,211.70 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $9,039.00 | |
Mass General Brigham
| Facility | AS | $142.76 | $142.76 | $380.79 |
United
| Facility | $1,700.00 | $4,249.00 | $9,821.00 |