| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $722.73 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $308.00 | $2,028.00 | $4,142.00 | |
AllWays Health Partners
| Facility | AS | $420.67 | $420.67 | $420.67 |
Fallon Health
| Facility | $300.00 | $1,371.12 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $1,818.00 | $7,231.00 | |
Mass General Brigham
| Facility | AS | $420.67 | $420.67 | $420.67 |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |