| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $832.19 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $953.23 | $5,030.00 | $36,845.80 | |
AllWays Health Partners
| Facility | AS | $220.18 | $220.18 | $429.56 |
Fallon Health
| Facility | $300.00 | $1,393.49 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $5,071.00 | $17,462.00 | |
Mass General Brigham
| Facility | AS | $220.18 | $220.18 | $429.56 |
United
| Facility | $2,485.00 | $6,898.00 | $25,809.00 |