| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.46 | $2,747.00 | $4,806.64 | |
AllWays Health Partners
| Facility | $275.52 | $2,237.00 | $14,462.00 | |
AllWays Health Partners
| Facility | AS | $119.42 | $119.42 | $119.42 |
Fallon Health
| Facility | $214.32 | $366.87 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $5,854.00 | $21,140.00 | |
Mass General Brigham
| Facility | AS | $119.42 | $119.42 | $119.42 |
United
| Facility | $2,594.00 | $7,775.00 | $16,522.00 |