| 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 | $1,465.42 | $4,751.20 | $14,547.21 | |
AllWays Health Partners
| Facility | AS | $339.92 | $339.92 | $669.21 |
Fallon Health
| Facility | $300.00 | $2,106.69 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $5,063.00 | $12,850.00 | |
Mass General Brigham
| Facility | AS | $339.92 | $339.92 | $669.21 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |