| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,894.76 | $6,117.00 | |
AllWays Health Partners
| Facility | $1,306.85 | $5,097.00 | $14,547.21 | |
AllWays Health Partners
| Facility | AS | $303.14 | $303.14 | $596.48 |
Fallon Health
| Facility | $300.00 | $1,909.00 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $5,904.00 | $14,018.00 | |
Mass General Brigham
| Facility | AS | $303.14 | $303.14 | $596.48 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |