| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $396.24 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $818.35 | $5,097.00 | $13,856.55 | |
AllWays Health Partners
| Facility | AS | $1,314.53 | $1,314.53 | $1,314.53 |
Fallon Health
| Facility | $563.17 | $1,195.54 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $5,508.58 | $14,018.00 | |
Mass General Brigham
| Facility | AS | $1,314.53 | $1,314.53 | $1,314.53 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |