| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,733.00 | $4,712.00 | |
AllWays Health Partners
| Facility | $731.01 | $5,063.00 | $12,850.00 | |
AllWays Health Partners
| Facility | AS | $74.29 | $74.29 | $1,279.44 |
Fallon Health
| Facility | $293.94 | $469.05 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $4,916.00 | $13,486.75 | |
Mass General Brigham
| Facility | AS | $74.29 | $74.29 | $1,279.44 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |