| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,421.00 | $2,663.12 | $3,693.00 | |
AllWays Health Partners
| Facility | $1,060.72 | $3,715.00 | $13,940.55 | |
AllWays Health Partners
| Facility | AS | $123.47 | $123.47 | $1,887.52 |
Fallon Health
| Facility | $477.41 | $1,028.58 | $6,679.00 | |
Mass General Brigham
| Facility | $1,768.52 | $3,997.00 | $16,394.00 | |
Mass General Brigham
| Facility | AS | $123.47 | $123.47 | $1,887.52 |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |