| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,894.00 | $6,107.00 | |
AllWays Health Partners
| Facility | $1,315.57 | $5,097.00 | $14,547.21 | |
AllWays Health Partners
| Facility | AS | $305.14 | $305.14 | $600.86 |
Fallon Health
| Facility | $1,197.02 | $1,909.00 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $5,904.00 | $14,018.00 | |
Mass General Brigham
| Facility | AS | $305.14 | $305.14 | $600.86 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |