| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $1,697.00 | $5,508.58 | $19,078.05 | |
AllWays Health Partners
| Facility | AS | $208.48 | $208.48 | $1,887.52 |
Fallon Health
| Facility | $816.63 | $1,349.66 | $6,679.00 | |
Mass General Brigham
| Facility | $2,386.00 | $6,078.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $208.48 | $208.48 | $1,887.52 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |