| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $672.13 | $2,747.00 | $7,625.00 | |
AllWays Health Partners
| Facility | $789.00 | $2,144.27 | $7,231.00 | |
AllWays Health Partners
| Facility | AS | $217.68 | $217.68 | $425.63 |
Fallon Health
| Facility | $300.00 | $1,381.40 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $13,180.64 | |
Mass General Brigham
| Facility | AS | $217.68 | $217.68 | $425.63 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |