| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,485.00 | $2,663.12 | $3,693.00 | |
AllWays Health Partners
| Facility | $1,027.41 | $4,395.85 | $14,547.21 | |
AllWays Health Partners
| Facility | AS | $239.99 | $239.99 | $474.73 |
Fallon Health
| Facility | $941.51 | $1,909.00 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $5,097.00 | $14,018.00 | |
Mass General Brigham
| Facility | AS | $239.99 | $239.99 | $474.73 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |