| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,478.37 | $2,747.00 | $7,625.00 | |
AllWays Health Partners
| Facility | $789.00 | $3,414.00 | $7,231.00 | |
AllWays Health Partners
| Facility | AS | $1,056.54 | $1,056.54 | $1,056.54 |
Fallon Health
| Facility | $300.00 | $3,239.53 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $41,732.00 | |
Mass General Brigham
| Facility | AS | $1,056.54 | $1,056.54 | $1,056.54 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |