| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,894.76 | $6,107.00 | |
AllWays Health Partners
| Facility | $1,485.00 | $4,605.24 | $15,220.00 | |
AllWays Health Partners
| Facility | AS | $209.68 | $209.68 | $2,392.36 |
Fallon Health
| Facility | $822.48 | $1,779.16 | $6,679.00 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $209.68 | $209.68 | $2,392.36 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |