| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,485.00 | $2,663.12 | $3,693.00 | |
AllWays Health Partners
| Facility | $789.00 | $1,878.00 | $4,256.00 | |
AllWays Health Partners
| Facility | AS | $195.45 | $195.45 | $195.45 |
Fallon Health
| Facility | $300.00 | $635.28 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $5,876.00 | |
Mass General Brigham
| Facility | AS | $195.45 | $195.45 | $195.45 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |