| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,094.00 | $3,685.00 | |
AllWays Health Partners
| Facility | $1,485.00 | $4,402.00 | $9,401.00 | |
AllWays Health Partners
| Facility | AS | $192.10 | $192.10 | $849.00 |
Fallon Health
| Facility | $752.69 | $1,349.66 | $6,679.00 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $12,000.00 | |
Mass General Brigham
| Facility | AS | $192.10 | $192.10 | $849.00 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |