| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,733.00 | $4,712.00 | |
AllWays Health Partners
| Facility | $1,061.00 | $3,997.00 | $9,039.00 | |
AllWays Health Partners
| Facility | AS | $402.19 | $402.19 | $789.44 |
Fallon Health
| Facility | $300.00 | $2,493.21 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $3,764.00 | $16,324.88 | |
Mass General Brigham
| Facility | AS | $402.19 | $402.19 | $789.44 |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |