| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.97 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $941.10 | $5,508.58 | $13,856.55 | |
AllWays Health Partners
| Facility | AS | $1,314.53 | $1,314.53 | $1,314.53 |
Fallon Health
| Facility | $951.87 | $1,909.00 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $5,904.00 | $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 |