| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.92 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $197.22 | $966.90 | $4,256.00 | |
AllWays Health Partners
| Facility | AS | $104.62 | $104.62 | $104.62 |
Fallon Health
| Facility | $174.65 | $300.00 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $2,446.00 | $5,876.00 | |
Mass General Brigham
| Facility | AS | $104.62 | $104.62 | $104.62 |
United
| Facility | $953.00 | $3,372.00 | $5,876.00 |