| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $285.08 | $2,747.00 | $7,625.00 | |
AllWays Health Partners
| Facility | $308.00 | $1,266.30 | $2,796.00 | |
AllWays Health Partners
| Facility | 62 | $1,220.04 | $1,220.04 | $1,220.04 |
Fallon Health
| Facility | $399.19 | $846.20 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $1,790.00 | $3,445.00 | |
Mass General Brigham
| Facility | 62 | $1,220.04 | $1,220.04 | $1,220.04 |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |