| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,365.65 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $789.00 | $3,414.00 | $7,231.00 | |
AllWays Health Partners
| Facility | AS | $971.38 | $971.38 | $971.38 |
Fallon Health
| Facility | $300.00 | $2,981.52 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $40,107.69 | |
Mass General Brigham
| Facility | AS | $971.38 | $971.38 | $971.38 |
United
| Facility | $953.00 | $3,372.00 | $5,876.00 |