| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $717.60 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $818.35 | $4,113.54 | $17,035.36 | |
AllWays Health Partners
| Facility | AS | $232.72 | $232.72 | $454.62 |
Fallon Health
| Facility | $300.00 | $1,475.55 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $6,474.00 | $17,462.00 | |
Mass General Brigham
| Facility | AS | $232.72 | $232.72 | $454.62 |
United
| Facility | $2,485.00 | $6,474.00 | $13,737.00 |