| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $421.67 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $689.92 | $1,878.00 | $4,256.00 | |
AllWays Health Partners
| Facility | AS | $297.83 | $297.83 | $297.83 |
Fallon Health
| Facility | $300.00 | $970.65 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $2,733.00 | $5,876.00 | |
Mass General Brigham
| Facility | AS | $297.83 | $297.83 | $297.83 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |