| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,421.00 | $2,663.12 | $3,693.00 | |
Aetna
| Facility | 54 | $522.42 | $522.42 | $522.42 |
AllWays Health Partners
| Facility | $941.10 | $2,430.00 | $7,161.00 | |
AllWays Health Partners
| Facility | 54 | $1,332.74 | $1,332.74 | $3,154.80 |
Fallon Health
| Facility | $746.90 | $1,609.52 | $6,679.00 | |
Mass General Brigham
| Facility | $1,106.00 | $2,510.00 | $16,394.00 | |
Mass General Brigham
| Facility | 54 | $1,332.74 | $1,332.74 | $3,154.80 |
United
| Facility | $1,106.00 | $2,408.00 | $5,683.00 |