| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.83 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $292.57 | $1,759.00 | $4,256.00 | |
AllWays Health Partners
| Facility | AS | $59.41 | $59.41 | $59.41 |
Fallon Health
| Facility | $122.06 | $258.20 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $2,446.00 | $5,876.00 | |
Mass General Brigham
| Facility | AS | $59.41 | $59.41 | $59.41 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |