| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $604.62 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $818.35 | $4,113.54 | $14,364.64 | |
AllWays Health Partners
| Facility | AS | $196.47 | $196.47 | $384.65 |
Fallon Health
| Facility | $777.63 | $1,663.38 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $6,474.00 | $17,462.00 | |
Mass General Brigham
| Facility | AS | $196.47 | $196.47 | $384.65 |
United
| Facility | $2,485.00 | $6,474.00 | $13,737.00 |