| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $725.34 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $857.21 | $5,071.00 | $36,845.80 | |
AllWays Health Partners
| Facility | AS | $191.46 | $191.46 | $373.55 |
Fallon Health
| Facility | $300.00 | $1,212.57 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $5,255.94 | $17,462.00 | |
Mass General Brigham
| Facility | AS | $191.46 | $191.46 | $373.55 |
United
| Facility | $2,485.00 | $6,474.00 | $13,737.00 |