| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,733.00 | $4,806.64 | |
AllWays Health Partners
| Facility | $1,602.15 | $5,097.00 | $13,773.00 | |
AllWays Health Partners
| Facility | AS | $248.03 | $248.03 | $1,887.52 |
Fallon Health
| Facility | $972.98 | $1,909.00 | $6,679.00 | |
Mass General Brigham
| Facility | $2,324.00 | $6,280.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $248.03 | $248.03 | $1,887.52 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |