| 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 | $1,483.78 | $4,402.00 | $15,220.00 | |
AllWays Health Partners
| Facility | AS | $169.24 | $169.24 | $1,887.52 |
Fallon Health
| Facility | $664.29 | $1,438.50 | $6,679.00 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $169.24 | $169.24 | $1,887.52 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |