| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $2,747.00 | $8,272.00 | |
AllWays Health Partners
| Facility | $1,532.56 | $4,916.00 | $16,742.00 | |
AllWays Health Partners
| Facility | AS | $174.51 | $174.51 | $1,887.52 |
Fallon Health
| Facility | $684.12 | $1,481.28 | $6,679.00 | |
Mass General Brigham
| Facility | $2,324.00 | $5,097.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $174.51 | $174.51 | $1,887.52 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |